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General NPI Number Information
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NPI Number | 1780742163
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Entity Type | Organization
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Legal Business Name | D. P. MURPHY AMBULANCE COMPANY
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/05/2015
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Provider Practice Location Address
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Address Line | 1072 S CORPORATE CIR
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City | GRAYSLAKE
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State | IL
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Zip | 60030-7814
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Country | US
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Telephone | 847-816-4600
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Fax | 847-816-4636
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Provider Business Mailing Address
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Address Line | PO BOX 6990
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-6990
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Country | US
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Telephone | 847-816-4600
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Fax | 847-816-4636
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID MURPHY
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Credential |
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Telephone | 847-816-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 107955
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License Number State | IL
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