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General NPI Number Information
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NPI Number | 1306242045
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Entity Type | Individual
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Provider Name | PETER J MURPHY JR. LCDP, LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 349 HUNTINGTON AVE
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City | PROVIDENCE
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State | RI
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Zip | 02909
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Country | US
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Telephone | 401-942-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 90 BROWN AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-1213
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Country | US
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Telephone | 401-225-8936
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDP00535
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC01085
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License Number State | RI
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