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General NPI Number Information
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NPI Number | 1639250244
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Entity Type | Individual
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Provider Name | HAL MURRAY NEVITT LCSW LISAC CEAP
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3241 E. SHEA BLVD #9
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City | PHOENIX
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State | AZ
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Zip | 85028
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Country | US
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Telephone | 602-885-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 13835 N TATUM BLVD # 9-178
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City | PHOENIX
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State | AZ
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Zip | 85032-5581
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Country | US
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Telephone | 602-885-4533
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LISAC-0837
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License Number State | AZ
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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 | LCSW-3406
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License Number State | AZ
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