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NPI 1487152831

NPI 1487152831 : THOMAS WILMOT MURRAY LCSW : YORK, PA

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General NPI Number Information
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    NPI Number           |    1487152831
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS WILMOT MURRAY LCSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/30/2018
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    Last Update Date     |    01/30/2018
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Provider Practice Location Address
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    Address Line         |    437 W MARKET ST 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17401-3893
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    Country              |    US
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    Telephone            |    717-654-0457
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    673 N PERSHING AVE 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17404-2731
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    Country              |    US
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    Telephone            |    717-854-3746
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CW014590
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    License Number State |    PA
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