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General NPI Number Information
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NPI Number | 1316441637
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Entity Type | Individual
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Provider Name | NANCY MURICKEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 5825 ARGERIAN DR STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-4140
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Country | US
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Telephone | 239-690-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 9413 LEATHERWOOD AVE
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City | TAMPA
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State | FL
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Zip | 33647-3262
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Country | US
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Telephone | 516-300-2164
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW23399
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License Number State | FL
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