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NPI 1104221969

NPI 1104221969 : DANIELLE DUTCHER MURPHY P.A.-C. : ROCKWALL, TX

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General NPI Number Information
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    NPI Number           |    1104221969
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELLE DUTCHER MURPHY P.A.-C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/22/2014
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    Last Update Date     |    11/22/2019
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Provider Practice Location Address
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    Address Line         |    1005 W RALPH HALL PKWY STE 137 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75032-6691
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    Country              |    US
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    Telephone            |    214-369-3613
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    Fax                  |    972-772-3300
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Provider Business Mailing Address
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    Address Line         |    1005 W RALPH HALL PKWY STE 137 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75032-6691
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    Country              |    US
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    Telephone            |    214-369-3613
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    Fax                  |    972-772-3300
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    2420
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA13175
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    License Number State |    TX
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