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General NPI Number Information
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NPI Number | 1821221292
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Entity Type | Organization
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Legal Business Name | MURPHY CHIROPRACTIC CENTER-MEXICO PC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 3618 S CLARK ST
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City | MEXICO
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State | MO
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Zip | 65265-4104
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Country | US
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Telephone | 573-581-2446
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Fax | 573-581-2448
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Provider Business Mailing Address
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Address Line | 400 MARK TWAIN AVE
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City | HANNIBAL
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State | MO
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Zip | 63401-3249
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Country | US
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Telephone | 573-221-1075
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Fax | 573-221-1433
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL P MURPHY
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Credential | D.C.
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Telephone | 573-221-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CE003638
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License Number State | MO
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