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NPI 1790769024

NPI 1790769024 : WALTER A MURPHY P.T. : MAYNARD, MA

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General NPI Number Information
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    NPI Number           |    1790769024
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    Entity Type          |    Individual 
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    Provider Name        |    WALTER A MURPHY P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2005
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    Last Update Date     |    03/27/2008
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Provider Practice Location Address
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    Address Line         |    1 PLEASANT ST 
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    City                 |    MAYNARD
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    State                |    MA
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    Zip                  |    01754-1360
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    Country              |    US
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    Telephone            |    978-897-8276
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    Fax                  |    978-897-8825
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Provider Business Mailing Address
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    Address Line         |    1 PLEASANT ST 
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    City                 |    MAYNARD
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    State                |    MA
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    Zip                  |    01754-1360
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    Country              |    US
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    Telephone            |    978-897-8276
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    Fax                  |    978-897-8825
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    10527
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    License Number State |    MA
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