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General NPI Number Information
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NPI Number | 1366674699
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Entity Type | Organization
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Legal Business Name | COLLEEN M. MURPHY, MD, FACOG, CORP
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 4100 LAKE OTIS PKWY STE 330
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City | ANCHORAGE
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State | AK
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Zip | 99508-5232
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Country | US
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Telephone | 907-770-5432
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Fax | 907-770-5431
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Provider Business Mailing Address
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Address Line | 4100 LAKE OTIS PKWY STE 330
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City | ANCHORAGE
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State | AK
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Zip | 99508-5232
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Country | US
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Telephone | 907-770-5432
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Fax | 907-770-5431
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. COLLEEN M MURPHY
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Credential | MD
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Telephone | 907-770-5432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 3162
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License Number State | AK
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