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General NPI Number Information
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NPI Number | 1538982277
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Entity Type | Individual
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Provider Name | ALISHA JUSTINE MURPHY RDN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 13112 MOSS RANCH LN
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City | FAIRFAX
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State | VA
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Zip | 22033-3524
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Country | US
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Telephone | 703-705-2720
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Fax | 541-470-5007
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Provider Business Mailing Address
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Address Line | 931 SW JOSEPH AVE
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City | HERMISTON
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State | OR
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Zip | 97838-7454
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Country | US
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Telephone | 360-320-8330
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10222617
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License Number State | OR
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