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General NPI Number Information
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NPI Number | 1487031399
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Entity Type | Individual
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Provider Name | NICOLE MURRAY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2015
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 793 CENTER ST # 793
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City | LEWISTON
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State | NY
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Zip | 14092-1705
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Country | US
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Telephone | 631-488-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 793 CENTER ST # 793
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City | LEWISTON
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State | NY
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Zip | 14092-1705
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Country | US
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Telephone | 773-540-3136
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 020478
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 020478
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 020478
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License Number State | NY
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