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NPI 1194882787

NPI 1194882787 : KELLY PATRICK MURPHY M.D. : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1194882787
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY PATRICK MURPHY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/02/2007
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    Last Update Date     |    04/19/2024
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Provider Practice Location Address
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    Address Line         |    1835 CUNNINGHAM AVE 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95122-1712
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    Country              |    US
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    Telephone            |    650-721-2786
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    Fax                  |    888-960-8939
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Provider Business Mailing Address
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    Address Line         |    1835 CUNNINGHAM AVE 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95122-1712
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    Country              |    US
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    Telephone            |    650-721-2786
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    Fax                  |    888-960-8939
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    G-77540
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    G77540
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    License Number State |    CA
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