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General NPI Number Information
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NPI Number | 1720027360
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Entity Type | Individual
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Provider Name | MARILYN GOODWIN MURPHY DDS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1923 HARDEMAN AVE
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City | MACON
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State | GA
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Zip | 31201-1162
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Country | US
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Telephone | 478-746-1538
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Fax | 478-746-8310
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Provider Business Mailing Address
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Address Line | 1923 HARDEMAN AVE
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City | MACON
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State | GA
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Zip | 31201-1162
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Country | US
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Telephone | 478-746-1538
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Fax | 478-746-8310
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN009427
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License Number State | GA
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