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General NPI Number Information
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NPI Number | 1871065391
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Entity Type | Individual
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Provider Name | MEGAN KAYLEEN MURDOCK DC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 109 GRANDVIEW AVE
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City | CHICORA
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State | PA
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Zip | 16025-2136
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Country | US
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Telephone | 724-607-1160
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 PLYMOUTH CT
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City | GIBSONIA
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State | PA
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Zip | 15044-9592
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Country | US
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Telephone | 814-952-2942
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RTO000268
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011439
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License Number State | PA
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