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General NPI Number Information
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NPI Number | 1356090435
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Entity Type | Individual
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Provider Name | JACLYN JOHNSON MURPHY DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 4501 BRUCE B DOWNS BLVD STE 205
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9216
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Country | US
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Telephone | 813-914-2000
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Fax | 813-605-6302
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-6974
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Fax | 813-635-2613
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS22198
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License Number State | FL
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