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Individual
TIMOTHY JAMES MURPHY
Active
Individual
TIMOTHY JAMES MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002344A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112034
ANTHEM ID
IN
05
—
100366780
—
IN
Enumeration date
03/07/2006
Last updated
10/03/2016
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