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General NPI Number Information
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NPI Number | 1942436456
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Entity Type | Individual
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Provider Name | M. KATHLEEN MURPHY RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 5225 W VLIET ST RM 200
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City | MILWAUKEE
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State | WI
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Zip | 53208-2627
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Country | US
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Telephone | 414-475-8766
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Fax | 414-475-8585
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Provider Business Mailing Address
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Address Line | 5225 W VLIET ST RM 200
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City | MILWAUKEE
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State | WI
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Zip | 53208-2627
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Country | US
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Telephone | 414-475-8766
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Fax | 414-475-8585
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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 | 91729
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License Number State | WI
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