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NPI Code Detail

MEDICARE: MOLLY ANNE MURPHY

MEDICARE: MOLLY ANNE MURPHY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1083483671
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY ANNE MURPHY
Provider Business Mailing Address
First Line : 51229 CENTURY CT
Second Line :
City : WIXOM
State : MI
Zip : 48393-2074
Country : US
Telephone Number : 248-529-1008
Fax Number :
Provider Business Practice Location Address
First Line : 51229 CENTURY CT
Second Line :
City : WIXOM
State : MI
Zip : 48393-2074
Country : US
Telephone Number : 248-529-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2023
Last Update Date : 12/25/2023

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Directions to “ MOLLY ANNE MURPHY ” Practice Location

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