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NPI 1649501404

NPI 1649501404 : ANITA R MURPHY PA-C : NELIGH, NE

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General NPI Number Information
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    NPI Number           |    1649501404
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    Entity Type          |    Individual 
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    Provider Name        |    ANITA R MURPHY PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/19/2010
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    Last Update Date     |    05/01/2024
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Provider Practice Location Address
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    Address Line         |    102 W 9TH ST 
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    City                 |    NELIGH
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    State                |    NE
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    Zip                  |    68756-1114
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    Country              |    US
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    Telephone            |    402-887-4151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 229 
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    City                 |    NELIGH
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    State                |    NE
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    Zip                  |    68756-0229
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    Country              |    US
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    Telephone            |    402-887-4151
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    Fax                  |    402-887-4092
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    1482
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    License Number State |    NE
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