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General NPI Number Information
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NPI Number | 1710412754
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Entity Type | Organization
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Legal Business Name | RICHARD S MURPHY DO LLC
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 12472 BREAKLINES ST APT 402
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City | CARMEL
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State | IN
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Zip | 46032-7659
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Country | US
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Telephone | 317-755-9460
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Fax |
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Provider Business Mailing Address
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Address Line | 12472 BREAKLINES ST APT 402
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City | CARMEL
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State | IN
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Zip | 46032-7659
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Country | US
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Telephone | 317-755-9460
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD S MURPHY
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Credential | D.O.
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Telephone | 317-755-9460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 02004126A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 02004126A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02004126A
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License Number State | IN
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