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General NPI Number Information
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NPI Number | 1790956720
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Entity Type | Organization
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Legal Business Name | R. SCOTT MURPHY, DDS, MD, INC.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 2828 1ST AVE SUITE 104
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City | HUNTINGTON
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State | WV
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Zip | 25702-1236
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Country | US
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Telephone | 304-522-3200
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Fax | 304-522-3401
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Provider Business Mailing Address
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Address Line | 2828 1ST AVE SUITE 104
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City | HUNTINGTON
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State | WV
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Zip | 25702-1236
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Country | US
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Telephone | 304-522-3200
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Fax | 304-522-3401
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. R. SCOTT MURPHY
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Credential | DDS, MD
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Telephone | 304-522-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3284
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License Number State | WV
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