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General NPI Number Information
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NPI Number | 1619562964
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Entity Type | Organization
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Legal Business Name | ANN FORDE MURRAY LCPC CORPORATION
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 5120 FOREST AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4608
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Country | US
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Telephone | 630-217-0115
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 FOREST AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4608
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Country | US
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Telephone | 630-217-0115
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | ANN FORDE MURRAY
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Credential | LCPC
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Telephone | 630-217-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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