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General NPI Number Information
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NPI Number | 1902188592
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Entity Type | Individual
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Provider Name | JASON R MURPHY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 550 ALLWOOD RD
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City | CLIFTON
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State | NJ
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Zip | 07012-2152
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Country | US
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Telephone | 973-473-3062
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Fax | 973-473-4065
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Provider Business Mailing Address
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Address Line | 222 HUDSON AVE
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City | NORWOOD
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State | NJ
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Zip | 07648-1206
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Country | US
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Telephone | 208-954-0929
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03450600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P6165
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License Number State | ID
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