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General NPI Number Information
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NPI Number | 1992975999
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Entity Type | Organization
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Legal Business Name | CA MURPHY, DO PC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 11148 HARPER AVE
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City | DETROIT
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State | MI
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Zip | 48213-3364
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Country | US
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Telephone | 313-579-5000
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Fax | 313-922-8045
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Provider Business Mailing Address
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Address Line | 11148 HARPER AVE
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City | DETROIT
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State | MI
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Zip | 48213-3364
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Country | US
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Telephone | 313-579-5000
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Fax | 313-922-8045
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADEOLA AKEREDOLU
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Credential | MD
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Telephone | 313-579-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | AA068856
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License Number State | MI
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