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General NPI Number Information
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NPI Number | 1548020845
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Entity Type | Organization
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Legal Business Name | CAROL A. MURRAY, LICSW, LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 30 MIRONA ROAD EXT STE 3
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5385
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Country | US
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Telephone | 603-422-8836
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Fax | 603-766-3141
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Provider Business Mailing Address
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Address Line | 30 MIRONA ROAD EXT STE 3
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5385
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Country | US
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Telephone | 603-422-8836
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Fax | 603-766-3141
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CAROL A MURRAY
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Credential | MSW, LICSW
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Telephone | 603-422-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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