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General NPI Number Information
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NPI Number | 1689862443
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Entity Type | Individual
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Provider Name | KATHY L MURPHY M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 6 PARK ST
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City | PETERSBURG
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State | WV
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Zip | 26847-1765
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Country | US
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Telephone | 304-257-1155
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Fax | 304-257-1945
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Provider Business Mailing Address
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Address Line | 6 PARK ST
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City | PETERSBURG
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State | WV
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Zip | 26847-1765
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Country | US
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Telephone | 304-257-1155
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Fax | 304-257-1945
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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 | 283
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 938
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CP00451473
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License Number State | WV
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