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General NPI Number Information
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NPI Number | 1306077706
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Entity Type | Individual
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Provider Name | DONNA MURPHY SHEALY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 606 NORTHWOOD RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2130
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Country | US
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Telephone | 803-730-2339
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 MARTINS CROSSING CT
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City | GILBERT
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State | SC
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Zip | 29054-8673
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Country | US
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Telephone | 803-892-7245
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2107
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License Number State | SC
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