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General NPI Number Information
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NPI Number | 1609096924
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Entity Type | Organization
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Legal Business Name | TARRYTOWN SPINAL CARE
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 102 SOUTH BRO
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City | TARRYTOWN
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State | NY
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Zip | 10591-4006
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Country | US
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Telephone | 914-631-4900
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Fax | 914-332-1362
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Provider Business Mailing Address
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Address Line | 102 SOUTH BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-4006
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Country | US
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Telephone | 914-631-4900
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Fax | 914-332-1362
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK TIMOTHY MURPHY
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Credential |
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Telephone | 914-631-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 182117
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License Number State | NY
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