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General NPI Number Information
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NPI Number | 1336356922
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Entity Type | Individual
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Provider Name | TIMOTHY JAMES MURPHY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 718 BRIDGE AVE SUITE 8
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City | DAVENPORT
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State | IA
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Zip | 52803-5620
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Country | US
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Telephone | 563-322-7707
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Fax | 563-322-7710
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Provider Business Mailing Address
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Address Line | 17 SUNSET CIR
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City | BETTENDORF
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State | IA
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Zip | 52722-6044
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Country | US
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Telephone | 563-322-7707
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Fax | 563-322-7710
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00681
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License Number State | IA
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