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General NPI Number Information
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NPI Number | 1619286333
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Entity Type | Organization
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Legal Business Name | M.K. MURPHY DC LC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 679 DOUGLAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-339-7676
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Fax | 407-339-0114
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Provider Business Mailing Address
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Address Line | 679 DOUGLAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2555
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Country | US
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Telephone | 407-339-7676
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Fax | 407-339-0114
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. M K MURPHY
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Credential | D.C.
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Telephone | 407-339-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6214
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License Number State | FL
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