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General NPI Number Information
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NPI Number | 1730756180
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Entity Type | Individual
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Provider Name | JASON MURPHY
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Gender | Male
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 3400 E LAKE RD
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City | PALM HARBOR
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State | FL
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Zip | 34685-2401
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Country | US
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Telephone | 727-431-1419
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Fax |
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Provider Business Mailing Address
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Address Line | 6125 WILLOW BECK LN APT 305
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City | BRADENTON
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State | FL
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Zip | 34202-5083
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Country | US
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Telephone |
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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