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General NPI Number Information
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NPI Number | 1265234231
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Entity Type | Organization
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Legal Business Name | MELISSA MURPHY LCSW LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 4320 SPRING CREEK RD STE 5
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City | ROCKFORD
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State | IL
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Zip | 61107-1157
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Country | US
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Telephone | 815-319-8428
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Fax |
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Provider Business Mailing Address
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Address Line | 2164 BORDEAUX DR
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City | ROCKFORD
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State | IL
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Zip | 61107-1674
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Country | US
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Telephone | 815-319-8428
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA ANNE MURPHY
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Credential | LCSW
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Telephone | 815-319-8428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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