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General NPI Number Information
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NPI Number | 1609184779
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Entity Type | Organization
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Legal Business Name | MURPHY PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 439 WILLIAM FLOYD PKWY
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City | SHIRLEY
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State | NY
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Zip | 11967-3466
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Country | US
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Telephone | 631-395-3100
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Fax | 631-395-3101
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Provider Business Mailing Address
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Address Line | 208 LEXINGTON RD
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City | SHIRLEY
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State | NY
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Zip | 11967-3210
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Country | US
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Telephone | 631-772-2590
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Fax | 631-772-2590
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS WILLIAM MURPHY
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Credential | MSPT
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Telephone | 631-395-3100
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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 | 016703
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License Number State | NY
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