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NPI 1710981253

NPI 1710981253 : MICHAEL B MURPHY PT : METAINE, LA

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General NPI Number Information
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    NPI Number           |    1710981253
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL B MURPHY PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2005
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    Last Update Date     |    01/14/2011
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Provider Practice Location Address
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    Address Line         |    3939 HOUMA BLVD #17 DOCTOR'S ROW
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    City                 |    METAINE
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    State                |    LA
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    Zip                  |    70006
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    Country              |    US
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    Telephone            |    504-885-9121
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    Fax                  |    504-885-0322
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Provider Business Mailing Address
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    Address Line         |    3939 HOUMA BLVD #17 DOCTOR'S ROW
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    City                 |    METAINE
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    State                |    LA
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    Zip                  |    70006
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    Country              |    US
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    Telephone            |    504-885-9121
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    Fax                  |    504-885-0322
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    00392
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    License Number State |    LA
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