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General NPI Number Information
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NPI Number | 1639983927
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Entity Type | Individual
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Provider Name | MARILYN M MURRAY M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 482 BRADLEY ST SW
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City | ABINGDON
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State | VA
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Zip | 24210-3008
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Country | US
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Telephone | 276-451-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 482 BRADLEY ST SW
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City | ABINGDON
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State | VA
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Zip | 24210-3008
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Country | US
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Telephone | 276-451-3996
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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 | 0719000037
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0704017240
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License Number State | VA
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