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General NPI Number Information
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NPI Number | 1396574000
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Entity Type | Individual
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Provider Name | ALEC MURPHY
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Gender | Male
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 201 DOWMAN DR ATLANTA GA 30322
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-6069
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Fax |
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Provider Business Mailing Address
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Address Line | 11689 PARKSIDE AVE
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City | ALPHARETTA
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State | GA
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Zip | 30005-2419
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Country | US
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Telephone | 770-687-3662
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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