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General NPI Number Information
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NPI Number | 1902769078
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Entity Type | Individual
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Provider Name | ALEXIS TIANA MURRAY MS, ALC
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1300 US-231
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City | TROY
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State | AL
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Zip | 36081
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Country | US
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Telephone | 334-233-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 BRIAR GATE DR
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City | MONTGOMERY
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State | AL
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Zip | 36116-1305
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Country | US
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Telephone | 334-233-3588
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ALC05816
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License Number State | AL
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