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NPI 1902669849

NPI 1902669849 : ANNE E MURPHY, LLC : MARION, MT

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General NPI Number Information
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    NPI Number           |    1902669849
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE E MURPHY, LLC 
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Dates
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    Enumeration Date     |    02/02/2024
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    Last Update Date     |    02/02/2024
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Provider Practice Location Address
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    Address Line         |    1570 BITTERROOT LANE TELEHEALTH PROVIDER
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    City                 |    MARION
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    State                |    MT
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    Zip                  |    59925
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    Country              |    US
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    Telephone            |    406-261-5869
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1329 
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    City                 |    MARION
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    State                |    MT
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    Zip                  |    59925-1329
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    Country              |    US
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    Telephone            |    406-261-5869
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LLC
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    Name                 |     ANNE E MURPHY 
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    Credential           |    LCPC
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    Telephone            |    406-261-5869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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