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General NPI Number Information
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NPI Number | 1811166556
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Entity Type | Organization
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Legal Business Name | JEFFREY MUROFF DPM PC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 500 PORTION RD SUITE 1
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City | RONKONKOMA
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State | NY
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Zip | 11779-4587
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Country | US
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Telephone | 631-588-0888
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Fax | 631-588-1193
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Provider Business Mailing Address
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Address Line | 500 PORTION RD SUITE 1
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City | RONKONKOMA
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State | NY
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Zip | 11779-4587
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Country | US
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Telephone | 631-588-0888
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Fax | 631-588-1193
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY MUROFF
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Credential | DPM
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Telephone | 631-588-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 005902
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 005902
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License Number State | NY
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