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General NPI Number Information
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NPI Number | 1104837392
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Entity Type | Organization
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Legal Business Name | MURPHY FAMILY DENTISTRY P.A.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 170 E FM 544 #100
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City | MURPHY
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State | TX
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Zip | 75094-4000
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Country | US
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Telephone | 972-516-2928
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Fax | 972-423-4511
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Provider Business Mailing Address
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Address Line | 170 E. FM 544 #100
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City | MURPHY
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State | TX
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Zip | 75094-3450
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Country | US
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Telephone | 972-516-2928
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Fax | 972-423-4511
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JACQUELINE THI NGUYEN
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Credential | DDS
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Telephone | 972-516-2928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19044 AND 19084
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License Number State | TX
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