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General NPI Number Information
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NPI Number | 1811245434
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Entity Type | Individual
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Provider Name | STEPHANIE L MURPHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY STE G58
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City | LOUISVILLE
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State | KY
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Zip | 40217-1472
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Country | US
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Telephone | 502-452-9567
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 STATE ST STE 240
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City | NEW ALBANY
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State | IN
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Zip | 47150-6804
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Country | US
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Telephone | 812-206-7093
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10001829A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1764
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License Number State | KY
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