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General NPI Number Information
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NPI Number | 1013965938
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Entity Type | Individual
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Provider Name | JENNIFER TRACHTE MURPHY DC, DICCP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 312 W BROADWAY ST
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City | PINK HILL
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State | NC
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Zip | 28572-7986
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Country | US
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Telephone | 252-568-6400
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Fax | 252-568-6461
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Provider Business Mailing Address
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Address Line | 312 W BROADWAY ST
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City | PINK HILL
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State | NC
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Zip | 28572-7986
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Country | US
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Telephone | 252-568-6400
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Fax | 252-568-6461
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2356
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License Number State | NC
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