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NPI 1578622759

NPI 1578622759 : MURPHY CHIROPRACTIC PC : IDA GROVE, IA

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General NPI Number Information
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    NPI Number           |    1578622759
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    Entity Type          |    Organization 
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    Legal Business Name  |    MURPHY CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    12/06/2006
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    Last Update Date     |    07/01/2025
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Provider Practice Location Address
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    Address Line         |    207 MAIN ST 
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    City                 |    IDA GROVE
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    State                |    IA
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    Zip                  |    51445-1310
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    Country              |    US
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    Telephone            |    712-364-3555
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    Fax                  |    712-364-4151
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Provider Business Mailing Address
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    Address Line         |    207 MAIN ST 
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    City                 |    IDA GROVE
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    State                |    IA
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    Zip                  |    51445-1310
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    Country              |    US
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    Telephone            |    712-364-3555
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    Fax                  |    712-364-4151
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ALEX ROTH MURPHY 
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    Credential           |    DC
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    Telephone            |    712-364-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    06540
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    License Number State |    IA
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