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General NPI Number Information
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NPI Number | 1801960687
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Entity Type | Organization
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Legal Business Name | HALLEGERE MURTHY MD PA
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 8600 SW 92ND ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33156-7397
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Country | US
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Telephone | 305-274-6161
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Fax | 305-279-8899
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Provider Business Mailing Address
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Address Line | 8600 SW 92ND ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33156-7397
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Country | US
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Telephone | 305-274-6161
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Fax | 305-279-8899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HALLEGERE MURTHY
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Credential | MD
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Telephone | 305-274-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 38014
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License Number State | FL
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