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General NPI Number Information
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NPI Number | 1083251862
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Entity Type | Individual
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Provider Name | JORDAN MURPHY
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Gender | Female
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Dates
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Enumeration Date | 11/29/2019
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 166 BAY SPRING AVE
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City | BARRINGTON
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State | RI
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Zip | 02806-1393
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Country | US
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Telephone | 401-359-4898
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Fax | 401-336-2442
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Provider Business Mailing Address
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Address Line | 75 POCAHONTAS DR
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City | WARWICK
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State | RI
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Zip | 02888-5420
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Country | US
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Telephone | 401-919-2594
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP01464
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License Number State | RI
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