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NPI 1780997809

NPI 1780997809 : MR. MICHAEL MURPHY : MANASQUAN, NJ

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General NPI Number Information
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    NPI Number           |    1780997809
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    Entity Type          |    Individual 
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    Provider Name        |    MR. MICHAEL MURPHY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2010
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    Last Update Date     |    07/18/2010
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Provider Practice Location Address
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    Address Line         |    149 MAIN ST 
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    City                 |    MANASQUAN
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    State                |    NJ
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    Zip                  |    08736-3544
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    Country              |    US
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    Telephone            |    732-223-3900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1205 3RD AVE 
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    City                 |    ASBURY PARK
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    State                |    NJ
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    Zip                  |    07712-5714
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    28RI01834500
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    License Number State |    NJ
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