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General NPI Number Information
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NPI Number | 1265693436
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Entity Type | Individual
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Provider Name | EULA J MURCH
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Gender | Female
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 20551 BOWEN RD
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City | NORTH FORT MYERS
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State | FL
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Zip | 33917-4963
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Country | US
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Telephone | 239-543-1534
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Fax | 239-997-2069
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Provider Business Mailing Address
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Address Line | 20551 BOWEN RD
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City | NORTH FORT MYERS
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State | FL
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Zip | 33917-4963
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Country | US
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Telephone | 239-543-1534
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Fax | 239-997-2069
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 089050-A
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License Number State | FL
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