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General NPI Number Information
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NPI Number | 1215803242
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Entity Type | Individual
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Provider Name | MYISHA DANNETTE MURPHY
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1532 ROSALIND ST
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City | SACRAMENTO
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State | CA
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Zip | 95838-4535
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Country | US
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Telephone | 916-584-1205
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Fax |
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Provider Business Mailing Address
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Address Line | 815 BRYTE AVE APT 16
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-1864
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Country | US
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Telephone | 916-807-5568
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Fax | 916-807-5568
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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