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General NPI Number Information
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NPI Number | 1740903863
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Entity Type | Individual
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Provider Name | MARAY CROCKETT LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 101 CARPE DIEM LN APT 418
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City | RALEIGH
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State | NC
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Zip | 27603-7648
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Country | US
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Telephone | 252-341-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 FRONT ST STE 250
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City | DURHAM
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State | NC
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Zip | 27705-2598
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Country | US
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Telephone | 919-382-0288
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00369
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License Number State | NC
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