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General NPI Number Information
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NPI Number | 1033894647
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Entity Type | Individual
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Provider Name | SHANNON NICOLE MURPHY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 203 GREEN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2945
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Country | US
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Telephone | 215-925-2339
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Fax |
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Provider Business Mailing Address
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Address Line | 101 COLONIAL RIDGE DR
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3423
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 40QA02173900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT031365
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License Number State | PA
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