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General NPI Number Information
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NPI Number | 1215770706
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Entity Type | Individual
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Provider Name | SAMUEL MURPHREE
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Gender | Male
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 200 CARRAWAY DR STE 2
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City | WINFIELD
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State | AL
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Zip | 35594-5073
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Country | US
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Telephone | 205-487-7556
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Fax | 205-487-7559
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Provider Business Mailing Address
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Address Line | 200 CARRAWAY DR STE 2
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City | WINFIELD
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State | AL
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Zip | 35594-5073
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Country | US
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Telephone | 205-487-7556
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 907135
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 915734
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3-002125
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License Number State | AL
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