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NPI 1528982584

NPI 1528982584 : JESSICA MURPHY RDH : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1528982584
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA MURPHY RDH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2026
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    Last Update Date     |    08/04/2026
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Provider Practice Location Address
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    Address Line         |    7400 GRANBY ST STE B 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23505-3436
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    Country              |    US
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    Telephone            |    757-587-7400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 SANDERSON CT 
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    City                 |    MOYOCK
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    State                |    NC
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    Zip                  |    27958-9031
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    Country              |    US
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    Telephone            |    252-722-3483
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    Fax                  |    252-722-3483
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    0402207214
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    License Number State |    VA
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