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General NPI Number Information
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NPI Number | 1043321474
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Entity Type | Individual
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Provider Name | PAMELA M MURPHY DO
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5761 MAIN STREET
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City | CENTERBROOK
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State | CT
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Zip | 06409
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Country | US
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Telephone | 860-767-0098
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Fax | 860-767-6856
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Provider Business Mailing Address
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Address Line | 652 BOSTON POST RD
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City | GUILFORD
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State | CT
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Zip | 06437-2719
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Country | US
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Telephone | 203-453-0677
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Fax | 203-458-7015
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042158
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License Number State | CT
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