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General NPI Number Information
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NPI Number | 1356133235
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Entity Type | Individual
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Provider Name | MS. MARY ELLEN MURRAY
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 16 CENTER ST STE 517
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3031
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Country | US
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Telephone | 413-636-3829
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Fax |
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Provider Business Mailing Address
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Address Line | 12 BENTON AVE
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1702
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Country | US
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Telephone | 860-977-0156
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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