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General NPI Number Information
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NPI Number | 1891087193
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Entity Type | Individual
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Provider Name | ELAINE MURRY LICSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 9015 WOODYARD RD STE 109
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City | CLINTON
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State | MD
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Zip | 20735-4226
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Country | US
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Telephone | 240-513-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 8817 CREEKWAY DR
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City | CLINTON
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State | MD
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Zip | 20735-4613
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Country | US
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Telephone | 240-513-9001
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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 | 084036-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC303301
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 20649
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License Number State | MD
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