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General NPI Number Information
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NPI Number | 1750390076
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Entity Type | Individual
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Provider Name | JERRY MURPHY D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 617A E BROAD AVE
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City | ROCKINGHAM
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State | NC
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Zip | 28379-3758
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Country | US
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Telephone | 847-899-8003
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1584
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City | ROCKINGHAM
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State | NC
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Zip | 28380-1584
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038009946
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3741
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License Number State | NC
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