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General NPI Number Information
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NPI Number | 1578372058
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Entity Type | Individual
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Provider Name | KEISHA NICHOLE MURPHY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 599 N ARROWHEAD AVE UNIT 9
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1201
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Country | US
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Telephone | 800-414-1202
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Fax | 909-435-2522
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Provider Business Mailing Address
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Address Line | PO BOX 7436
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City | SAN BERNARDINO
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State | CA
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Zip | 92411-0436
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Country | US
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Telephone | 800-414-1202
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Fax | 909-435-2522
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95033432
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License Number State | CA
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