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General NPI Number Information
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NPI Number | 1972906444
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Entity Type | Individual
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Provider Name | DEVON MURPHY
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Gender | Female
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 5303 ELLIOTT DRIVE SUITE 210
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-712-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 307 DOLPHIN ST APT 1B
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City | BALTIMORE
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State | MD
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Zip | 21217-3650
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601009599
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License Number State | MI
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