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General NPI Number Information
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NPI Number | 1801255476
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Entity Type | Individual
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Provider Name | MR. MARK ROBERT MURRMAN
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Gender | Male
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1777 REISTERSTOWN RD STE 165R
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City | PIKESVILLE
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State | MD
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Zip | 21208-1387
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Country | US
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Telephone | 888-511-9395
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Fax |
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Provider Business Mailing Address
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Address Line | 421 BLOSSOM DR
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City | PITTSBURGH
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State | PA
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Zip | 15236-2430
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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