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General NPI Number Information
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NPI Number | 1164651071
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Entity Type | Organization
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Legal Business Name | THOMAS H MURPHY, O.D., INC.
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 1689 ARDEN WAY SUITE 1091
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City | SACRAMENTO
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State | CA
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Zip | 95815-4030
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Country | US
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Telephone | 916-929-1169
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Fax | 916-929-4189
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Provider Business Mailing Address
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Address Line | 1689 ARDEN WAY SUITE 1091
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City | SACRAMENTO
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State | CA
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Zip | 95815-4030
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Country | US
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Telephone | 916-929-1169
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Fax | 919-929-4189
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS H MURPHY
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Credential | OD
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Telephone | 916-929-1169
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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 | 6518T
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License Number State | CA
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