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General NPI Number Information
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NPI Number | 1669862611
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Entity Type | Organization
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Legal Business Name | MURPHY EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 231 E FM 544 SUITE 707
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City | MURPHY
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State | TX
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Zip | 75094-4047
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Country | US
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Telephone | 972-424-2211
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Fax | 972-424-3311
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Provider Business Mailing Address
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Address Line | 231 E FM 544 SUITE 707
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City | MURPHY
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State | TX
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Zip | 75094-4047
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Country | US
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Telephone | 972-424-2211
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Fax | 972-424-3311
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | JUSTIN KELLY BARNETT
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Credential | OD
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Telephone | 972-424-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06922TG
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License Number State | TX
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