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General NPI Number Information
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NPI Number | 1851364343
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Entity Type | Individual
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Provider Name | LISA L MURPHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 306 STANAFORD RD
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City | BECKLEY
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State | WV
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Zip | 25801-3142
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Country | US
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Telephone | 304-255-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 255 ADAM ST
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City | SHADY SPRING
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State | WV
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Zip | 25918-1300
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Country | US
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Telephone | 210-542-2838
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Fax | 402-746-5684
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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 | 697
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License Number State | WV
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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 | 1797
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License Number State | WV
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