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General NPI Number Information
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NPI Number | 1326132093
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Entity Type | Individual
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Provider Name | NAGAPRASAD B MURTHI MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 122 LUAKAHA CIR
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City | KIHEI
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State | HI
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Zip | 96753-8286
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Country | US
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Telephone | 808-633-7662
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Fax | 808-442-1406
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Provider Business Mailing Address
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Address Line | 122 LUAKAHA CIR
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City | KIHEI
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State | HI
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Zip | 96753-8286
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Country | US
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Telephone | 808-633-7662
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Fax | 808-442-1406
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301038650
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number | 4301038650
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-17639
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License Number State | HI
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