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General NPI Number Information
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NPI Number | 1720489479
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Entity Type | Organization
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Legal Business Name | MURPHY MENTORING GROUP, INC.
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 609 E 29TH ST RM 102
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4160
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Country | US
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Telephone | 317-292-5123
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Fax | 317-924-4209
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Provider Business Mailing Address
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Address Line | 609 E 29TH ST RM 102
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4160
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Country | US
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Telephone | 317-292-5123
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Fax | 317-924-4209
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | MRS. JENNIFER D MURPHY
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Credential | MPH
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Telephone | 317-292-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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