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General NPI Number Information
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NPI Number | 1770629206
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Entity Type | Organization
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Legal Business Name | MURDOCH DEVELOPMENTAL CENTER
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1600 EAST C STREET
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City | BUTNER
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State | NC
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Zip | 27509-2530
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Country | US
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Telephone | 919-575-1000
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Fax | 919-575-1104
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Provider Business Mailing Address
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Address Line | 1600 EAST C STREET
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City | BUTNER
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State | NC
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Zip | 27509-2530
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Country | US
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Telephone | 919-575-1000
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Fax | 919-575-1104
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Authorized Official
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Title or Position | UTILIZATION MANAGEMENT COORDINATOR
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Name | MRS. MICHELLE LEIGH REESE-JOSEFSBERG
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Credential | LCSW
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Telephone | 919-855-4761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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