Here is a sample table that mimics my scenario:
COL_1 COL_2 COL_3 COL_4 LAST_COL A P X NY 10 A P X NY 11 A
SELECT COL_1, COL_2, COL_3, COL_4, COUNT(*) FROM MyTable GROUP BY COL_1, COL_2, COL_3, COL_4
If you ever want to weed out rows that don't have a duplicate:
SELECT COL_1, COL_2, COL_3, COL_4, COUNT(*) FROM MyTable GROUP BY COL_1, COL_2, COL_3, COL_4 HAVING COUNT(*) > 1