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General NPI Number Information
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NPI Number | 1841634656
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Entity Type | Individual
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Provider Name | YVETTE RENEE MURRY MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 15 W PROSPECT ST SUITE 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2161
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Country | US
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Telephone | 732-397-2192
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Fax |
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Provider Business Mailing Address
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Address Line | 21 KILMER RD SUITE 10714
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City | EDISON
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State | NJ
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Zip | 08906-7200
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Country | US
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Telephone | 732-397-2192
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL05431500
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License Number State | NJ
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