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General NPI Number Information
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NPI Number | 1740509124
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Entity Type | Individual
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Provider Name | ANDREA MURO LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 4421 JUNCTION PARK DR SUITE 200
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City | WILMINGTON
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State | NC
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Zip | 28412-2263
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Country | US
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Telephone | 910-515-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 2013 METTS AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-2131
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Country | US
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Telephone | 201-803-1898
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006765
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License Number State | NC
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