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General NPI Number Information
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NPI Number | 1972544203
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Entity Type | Individual
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Provider Name | BRADFORD E MURPHY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1121 W HILL RD
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City | FLINT
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State | MI
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Zip | 48507-4733
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Country | US
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Telephone | 810-232-8888
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Fax | 810-232-9190
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Provider Business Mailing Address
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Address Line | 2734 PARKSIDE DR
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City | FLINT
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State | MI
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Zip | 48503-4663
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Country | US
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Telephone | 810-232-8888
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Fax | 810-232-9190
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 5101007271
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License Number State | MI
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