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General NPI Number Information
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NPI Number | 1316356488
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Entity Type | Individual
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Provider Name | SHIRLEY S. MURDOCK LMFT, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 10685 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-1510
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Country | US
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Telephone | 305-321-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 4877 NW 101ST AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-1700
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Country | US
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Telephone | 305-321-6002
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 2901
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License Number State | FL
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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 | MH 12599
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License Number State | FL
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