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General NPI Number Information
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NPI Number | 1487960209
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Entity Type | Individual
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Provider Name | JANELLE NICHOLE MURPHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 743 SPRING ST NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3715
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Country | US
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Telephone | 770-219-3553
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Fax | 770-533-4786
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Provider Business Mailing Address
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Address Line | PO BOX 658
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City | GAINESVILLE
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State | GA
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Zip | 30503-0658
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Country | US
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Telephone | 770-718-1122
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Fax | 770-533-4786
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10772
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-05267
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 10772
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License Number State | GA
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