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General NPI Number Information
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NPI Number | 1780855288
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Entity Type | Individual
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Provider Name | KATHLEEN QUINN MURPHY ATC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 35 RIVER ST
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City | BILLERICA
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State | MA
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Zip | 01821-1827
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Country | US
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Telephone | 978-436-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 5121 EVERGREEN DR
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City | WILMINGTON
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State | MA
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Zip | 01887-1181
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1534
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0381
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00117000
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License Number State | NJ
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