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General NPI Number Information
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NPI Number | 1427312867
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Entity Type | Individual
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Provider Name | MAUREEN OLIVIA MURPHY-RYAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 660 S EUCLID AVE CAMPUS BOX 8134
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-362-5000
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Fax | 314-362-0193
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Provider Business Mailing Address
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Address Line | 940 BELMONT ST
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City | BROCKTON
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State | MA
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Zip | 02301-5596
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Country | US
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Telephone | 774-826-3885
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Fax | 774-826-4282
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | MD61186190
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License Number State | WA
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