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General NPI Number Information
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NPI Number | 1558690222
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Entity Type | Individual
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Provider Name | JEFFREY ROBERT MURPHY OPTICIAN-HEARING AID
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Gender | Male
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 610 WASHINGTON ST PEMBROKE EYE & EAR CARE CENTER
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City | PEMBROKE
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State | MA
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Zip | 02359-0484
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Country | US
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Telephone | 781-826-4656
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Fax | 781-826-6100
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Provider Business Mailing Address
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Address Line | P.O. BOX 311 610 WASHINGTON ST.
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City | PEMBROKE
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State | MA
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Zip | 02359-0484
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Country | US
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Telephone | 781-826-4656
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Fax | 781-826-6100
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | #134
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License Number State | MA
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