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General NPI Number Information
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NPI Number | 1841694452
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Entity Type | Organization
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Legal Business Name | CA MURPHY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 1 LAKESHORE DR SUITE 1830
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City | LAKE CHARLES
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State | LA
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Zip | 70629-0100
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Country | US
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Telephone | 337-437-8383
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Fax | 337-437-8386
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Provider Business Mailing Address
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Address Line | 4501 AUTUMNWOOD LN
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5453
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Country | US
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Telephone | 337-794-2638
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES ARNOLD MURPHY III
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Credential | M.D.
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Telephone | 337-794-2638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 09455R
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License Number State | LA
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