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General NPI Number Information
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NPI Number | 1679249924
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Entity Type | Individual
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Provider Name | DOROTHY MURO LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 80 ORVILLE DR STE 100
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City | BOHEMIA
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State | NY
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Zip | 11716-2505
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Country | US
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Telephone | 516-308-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 170 RED PINE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-6911
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Country | US
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Telephone | 631-624-5394
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 011052
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License Number State | NY
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