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General NPI Number Information
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NPI Number | 1417241860
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Entity Type | Individual
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Provider Name | NIA MURRAY MSW
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 523 PLYMOUTH RD. SUITE215
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City | PLYMOUTHMEETING
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State | PA
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Zip | 19462
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Country | US
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Telephone | 610-825-9400
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Fax | 610-825-7130
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Provider Business Mailing Address
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Address Line | 1807 ASHURST RD
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2006
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Country | US
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Telephone | 215-681-8474
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005873
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License Number State | PA
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