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General NPI Number Information
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NPI Number | 1275098170
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Entity Type | Individual
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Provider Name | KRISTEN MURPHY
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 19 ELLIOTT AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-3407
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Country | US
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Telephone | 484-243-0917
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 MUHLENBURG DR
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City | BLUE BELL
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State | PA
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Zip | 19422-3615
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Country | US
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Telephone | 215-375-1826
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 390200000X
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License Number State | PA
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