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General NPI Number Information
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NPI Number | 1639172240
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Entity Type | Individual
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Provider Name | STACEY-JO MURRAY APRN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | PRO HEALTH PARTNERS 9 BISHOP RD
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City | OXFORD
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State | CT
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Zip | 06487
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Country | US
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Telephone | 203-521-7543
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Fax | 203-643-2000
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Provider Business Mailing Address
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Address Line | 25 SECOND ST UNIT C6
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City | STAMFORD
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State | CT
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Zip | 06905-2213
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Country | US
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Telephone | 203-249-5881
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 002009
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License Number State | CT
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