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NPI 1063463842

NPI 1063463842 : HOWARD EDMOND MURPHY OD : MACON, GA

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General NPI Number Information
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    NPI Number           |    1063463842
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    Entity Type          |    Individual 
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    Provider Name        |    HOWARD EDMOND MURPHY OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2006
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    Last Update Date     |    10/02/2024
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Provider Practice Location Address
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    Address Line         |    3801 NORTHSIDE DR 
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    City                 |    MACON
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    State                |    GA
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    Zip                  |    31210-2418
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    Country              |    US
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    Telephone            |    478-475-1600
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    Fax                  |    478-475-1876
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Provider Business Mailing Address
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    Address Line         |    8614 WESTWOOD CENTER DR FL 9 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-2442
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    Country              |    US
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    Telephone            |    703-847-8899
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    GA1455
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    License Number State |    GA
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