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General NPI Number Information
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NPI Number | 1366564205
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Entity Type | Individual
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Provider Name | TODD LONGFORD MURPHY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 1250 SOUTH 18TH ST ANESTHESIOLOGY
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034
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Country | US
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Telephone | 912-713-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 S 18TH ST DEPT OF
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-1902
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Country | US
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Telephone | 802-434-3252
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101222111
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 98188
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License Number State | FL
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