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General NPI Number Information
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NPI Number | 1477379741
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Entity Type | Organization
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Legal Business Name | ABIGAIL MURY LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1301 PLANTATION ISLAND DR S STE 202A
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32080-3111
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Country | US
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Telephone | 561-903-4676
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 OLEANDER ST
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-5800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABIGAIL MURY
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Credential | LCSW
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Telephone | 239-634-9548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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