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General NPI Number Information
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NPI Number | 1710200779
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Entity Type | Organization
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Legal Business Name | JAMES J. MURDOCCO MD INC
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 360 KINGSTOWN RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-789-0226
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Fax | 401-789-2335
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-789-0226
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Fax | 401-789-2335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES JOSEPH MURDOCCO
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Credential | M.D.
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Telephone | 401-789-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | RI04044
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | RI04044
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License Number State | RI
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