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General NPI Number Information
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NPI Number | 1912735754
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Entity Type | Individual
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Provider Name | JILL K MURTAUGH LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 5835 CALLAGHAN RD STE 203
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1224
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Country | US
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Telephone | 210-239-8756
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Fax |
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Provider Business Mailing Address
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Address Line | 6430 VISTA BUTTE
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City | WINDCREST
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State | TX
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Zip | 78239-2755
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Country | US
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Telephone | 262-442-5159
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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 | 58686
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License Number State | TX
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