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General NPI Number Information
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NPI Number | 1003822420
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Entity Type | Individual
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Provider Name | MURRAY DALE CHRISTIANSON M.D., F.R.C.S.(C),
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD HENRY FORD HOSPITAL, K-10
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 20242 RONSDALE DR
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-3860
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Country | US
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Telephone | 248-433-3301
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301361933
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License Number State | MI
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