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General NPI Number Information
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NPI Number | 1629615109
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Entity Type | Individual
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Provider Name | MARCIA ANTOINETTE MURPHY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 8588 KATY FWY STE 312
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City | HOUSTON
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State | TX
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Zip | 77024-1829
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Country | US
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Telephone | 713-532-6884
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Fax | 713-532-5756
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Provider Business Mailing Address
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Address Line | 18424 KLINGER ST
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City | DETROIT
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State | MI
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Zip | 48234-1718
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Country | US
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Telephone | 313-768-4414
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704276187
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1180128
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License Number State | TX
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