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General NPI Number Information
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NPI Number | 1508214990
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Entity Type | Organization
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Legal Business Name | FOUR MURPHYS PERSONAL CARE LLC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 5425 MAIN ST
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2504
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Country | US
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Telephone | 727-845-5819
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Fax | 727-845-9008
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Provider Business Mailing Address
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Address Line | 5425 MAIN ST
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2504
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Country | US
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Telephone | 727-845-5819
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Fax | 727-845-9008
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACEY MURPHY
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Credential |
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Telephone | 727-845-5819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994523
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License Number State | FL
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