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General NPI Number Information
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NPI Number | 1003478983
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Entity Type | Individual
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Provider Name | JONATHAN WAYNE MURRAY JR.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2142 N BLYTHE AVE
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City | FRESNO
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State | CA
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Zip | 93722-5402
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Country | US
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Telephone | 559-276-7680
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Fax | 559-271-8927
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Provider Business Mailing Address
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Address Line | 4460 W SHAW AVE # 595
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City | FRESNO
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State | CA
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Zip | 93722-6210
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Country | US
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Telephone | 559-277-3494
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Fax | 559-271-8927
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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