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General NPI Number Information
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NPI Number | 1932954278
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Entity Type | Individual
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Provider Name | CATHERINE OLIVIA MURPHY HASLAM MASTER'S DEGREE
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Gender | Female
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 996 HUFF RD NW STE C
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City | ATLANTA
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State | GA
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Zip | 30318-4333
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Country | US
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Telephone | 770-692-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 274 DENNIS DR
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City | ALPHARETTA
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State | GA
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Zip | 30009-6506
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Country | US
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Telephone |
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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 | LPCC.0021924
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License Number State | CO
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