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NPI Code Detail

MEDICARE: CLARA MURPHY

MEDICARE: CLARA MURPHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063043867
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA MURPHY
Provider Business Mailing Address
First Line : 1703 N MCMULLEN BOOTH RD UNIT 1440
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-9653
Country : US
Telephone Number : 727-485-4660
Fax Number :
Provider Business Practice Location Address
First Line : 1703 N MCMULLEN BOOTH RD UNIT 1440
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-9653
Country : US
Telephone Number : 727-485-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ CLARA MURPHY ” Practice Location

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