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General NPI Number Information
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NPI Number | 1013146398
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Entity Type | Individual
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Provider Name | GIRISH JANARDHANA MURTHY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 1011 14TH AVE NW
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City | ARDMORE
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State | OK
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Zip | 73401-1828
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Country | US
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Telephone | 940-642-8769
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Fax |
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Provider Business Mailing Address
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Address Line | 101 NE 53RD ST APT 1920
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-1840
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Country | US
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Telephone | 940-642-8769
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 28931
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 066874
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 28931
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 066874
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License Number State | GA
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