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General NPI Number Information
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NPI Number | 1639329915
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Entity Type | Individual
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Provider Name | ELAINE DEMING MURPHY M.D,
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Gender | Female
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 251 E HURON ST F5-704
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-926-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 CRANBROOK RD
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1505
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Country | US
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Telephone | 847-816-8693
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125-050795
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License Number State | IL
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