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General NPI Number Information
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NPI Number | 1942380522
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Entity Type | Individual
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Provider Name | STEPHANIE ANN MURPHY D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/25/2010
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Provider Practice Location Address
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Address Line | 7040 N PORT WASHINGTON RD 410
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City | GLENDALE
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State | WI
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Zip | 53217-3838
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Country | US
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Telephone | 414-367-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 7040 N PORT WASHINGTON RD 410
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City | GLENDALE
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State | WI
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Zip | 53217-3838
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Country | US
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Telephone | 414-367-6337
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5994-15
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License Number State | WI
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