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General NPI Number Information
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NPI Number | 1336204817
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Entity Type | Individual
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Provider Name | MS. CARMEN M MURRAY
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 560 RAILROAD STREET
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City | ST JOHNSBURY
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State | VT
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Zip | 05819
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Country | US
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Telephone | 802-748-3181
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Fax | 802-748-0704
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Provider Business Mailing Address
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Address Line | 167 LAKE ST
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City | ISLAND POND
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State | VT
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Zip | 05846
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Country | US
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Telephone | 802-723-6192
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0680000551
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License Number State | VT
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