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General NPI Number Information
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NPI Number | 1366726614
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Entity Type | Individual
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Provider Name | BRONWYN MURRAY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 514 E WILLIAM ST SUITE A
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City | ANN ARBOR
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State | MI
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Zip | 48104-2446
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Country | US
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Telephone | 734-845-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W MOSLEY ST APT 2
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City | ANN ARBOR
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State | MI
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Zip | 48103-4970
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Country | US
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Telephone | 734-845-4361
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301014636
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301014636
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License Number State | MI
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