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General NPI Number Information
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NPI Number | 1841907987
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Entity Type | Individual
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Provider Name | MAXWELL CEDRICK MURPHREE FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 500 MCFARLAND ST STE E
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City | MORRISTOWN
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State | TN
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Zip | 37814-3992
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Country | US
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Telephone | 423-353-4508
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 CREEKSIDE CIR
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City | RUSSELLVILLE
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State | TN
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Zip | 37860-8894
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Country | US
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Telephone | 423-327-5607
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32591
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License Number State | TN
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