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General NPI Number Information
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NPI Number | 1740425115
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Entity Type | Organization
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Legal Business Name | MED A CLINICO, INC.
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 12799 JONES ROAD
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City | HOUSTON
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State | TX
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Zip | 77380
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Country | US
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Telephone | 281-955-0000
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Fax | 281-955-5305
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Provider Business Mailing Address
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Address Line | 12799 JONES ROAD
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City | HOUSTON
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State | TX
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Zip | 77380
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Country | US
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Telephone | 281-955-0000
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Fax | 281-955-5305
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN JOSEPH MURPHY
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Credential | M.D.
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Telephone | 281-955-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E8751
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License Number State | TX
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