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General NPI Number Information
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NPI Number | 1295892537
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Entity Type | Individual
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Provider Name | CHARLES M MURPHY MPT
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 11741 COUNTY ROAD 54
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City | DAPHNE
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State | AL
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Zip | 36526-5416
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Country | US
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Telephone | 251-978-5805
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Fax |
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Provider Business Mailing Address
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Address Line | 22859 ADAMS DR
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City | ROBERTSDALE
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State | AL
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Zip | 36567-3610
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Country | US
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Telephone | 251-978-5805
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Fax | 251-947-4825
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH4052
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License Number State | AL
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