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General NPI Number Information
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NPI Number | 1710675111
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Entity Type | Individual
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Provider Name | JAN MURPHY
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 28 VIRGINIA AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2466
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Country | US
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Telephone | 862-202-6724
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Fax |
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Provider Business Mailing Address
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Address Line | JAN MURPHY 225 RIDGEWOOD AVE UNIT 8082
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City | GLENRIDGE
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State | NJ
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Zip | 07028
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Country | US
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Telephone | 872-202-6724
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Fax |
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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