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General NPI Number Information
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NPI Number | 1417764143
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Entity Type | Individual
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Provider Name | CHLOE MURPHY
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 89 N MAIN ST STE 203
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City | DRIGGS
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State | ID
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Zip | 83422-5141
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Country | US
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Telephone | 307-734-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 579 W 5500 S UNIT A
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City | VICTOR
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State | ID
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Zip | 83455-5451
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Country | US
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Telephone | 832-574-3783
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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 |
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License Number State |
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