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NPI 1689631400

NPI 1689631400 : ASHLEY MOTT MURPHREE PT : JONESBORO, AR

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General NPI Number Information
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    NPI Number           |    1689631400
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY MOTT MURPHREE PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/26/2006
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    Last Update Date     |    06/13/2011
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Provider Practice Location Address
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    Address Line         |    300 SOUTHWEST SQ 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401
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    Country              |    US
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    Telephone            |    870-336-0220
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    Fax                  |    870-336-0221
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Provider Business Mailing Address
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    Address Line         |    300 SOUTHWEST SQ 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401
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    Country              |    US
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    Telephone            |    870-336-0220
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    Fax                  |    870-336-0221
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    PT2638
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    PT2636
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    License Number State |    AR
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