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General NPI Number Information
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NPI Number | 1982745907
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Entity Type | Individual
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Provider Name | LEIGH ANN MURDOCK L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 111 SW 5TH AVE
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City | PORTLAND
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State | OR
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Zip | 97204-3604
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Country | US
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Telephone | 323-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 1294 EASTERWOOD BLVD
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City | GARDENDALE
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State | AL
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Zip | 35071-4204
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Country | US
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Telephone | 256-343-2671
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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 | 1816C
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1816C
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License Number State | AL
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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 | L13104
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License Number State | OR
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