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General NPI Number Information
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NPI Number | 1750590956
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Entity Type | Individual
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Provider Name | MS. MONET MARIE MURPHY
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 2255 FORT ST
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City | LINCOLN PARK
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State | MI
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Zip | 48146-2671
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Country | US
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Telephone | 313-386-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 11060 GROVER ST
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City | ROMULUS
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State | MI
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Zip | 48174-1450
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Country | US
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Telephone | 989-372-5547
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704273504
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License Number State | MI
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