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General NPI Number Information
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NPI Number | 1962537944
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Entity Type | Individual
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Provider Name | MICHAEL KEVIN MURPHY SR. ATC, LAT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 412 HALE STREET
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City | PRIDES CROSSING
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State | MA
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Zip | 01965
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Country | US
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Telephone | 978-236-3233
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Fax | 978-921-0361
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Provider Business Mailing Address
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Address Line | 98 CONGRESS ST
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City | AMESBURY
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State | MA
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Zip | 01913-1927
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Country | US
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Telephone |
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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 | 525
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License Number State | MA
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