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General NPI Number Information
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NPI Number | 1598113839
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Entity Type | Individual
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Provider Name | CAITLIN MURPHY PT, DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 30 BROAD ST
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City | NEW YORK
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State | NY
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Zip | 10004-2304
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Country | US
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Telephone | 646-790-7454
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Fax |
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Provider Business Mailing Address
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Address Line | 46 WOOD ST
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City | LYNBROOK
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State | NY
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Zip | 11563-2430
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 039546
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License Number State | NY
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