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General NPI Number Information
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NPI Number | 1336455021
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Entity Type | Individual
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Provider Name | SEECHEL MURPHY KANACHERIL O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 258 N STATE ROAD 7
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City | MARGATE
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State | FL
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Zip | 33063-4557
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Country | US
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Telephone | 954-973-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 NE 24TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-2712
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Country | US
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Telephone | 954-873-5523
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4165
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License Number State | FL
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