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General NPI Number Information
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NPI Number | 1265321871
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Entity Type | Individual
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Provider Name | SAMUEL THOMAS MURPHY PHD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-8500
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Country | US
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Telephone | 707-718-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 212 EMORY DR
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City | VACAVILLE
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State | CA
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Zip | 95687-5138
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Country | US
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Telephone | 707-718-4473
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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