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General NPI Number Information
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NPI Number | 1629352943
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Entity Type | Organization
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Legal Business Name | KATHARINE A. MURPHY, DMD, PC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 6177 ORCHARD LAKE RD STE 210
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2390
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Country | US
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Telephone | 248-737-1577
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Fax | 248-737-1840
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Provider Business Mailing Address
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Address Line | 6177 ORCHARD LAKE RD STE 210
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2390
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Country | US
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Telephone | 248-737-1577
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Fax | 248-737-1840
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHARINE ANN MURPHY-BROWN
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Credential | DMD
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Telephone | 248-737-1577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19929
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License Number State | MI
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