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General NPI Number Information
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NPI Number | 1013172915
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Entity Type | Individual
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Provider Name | CASEY MURDOCK DMD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 926 MAIN ST SUITE # 14
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City | BILLINGS
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State | MT
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Zip | 59105-3359
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Country | US
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Telephone | 406-259-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 791 E 600 N
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City | FIRTH
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State | ID
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Zip | 83236-1224
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Country | US
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Telephone | 208-346-6284
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2309
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License Number State | MT
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