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NPI Code Detail

MEDICARE: MR. EDWARD JOHN MURPHY

MEDICARE: MR. EDWARD JOHN 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1205016664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD JOHN MURPHY
Provider Business Mailing Address
First Line : 7451 HOLLYWOOD BLVD
Second Line : #4
City : LOS ANGELES
State : CA
Zip : 90046-2835
Country : US
Telephone Number : 626-332-3145
Fax Number : 626-974-4164
Provider Business Practice Location Address
First Line : 223 E ROWLAND ST
Second Line :
City : COVINA
State : CA
Zip : 91723-3147
Country : US
Telephone Number : 626-332-3145
Fax Number : 626-974-4164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 11/13/2007

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