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General NPI Number Information
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NPI Number | 1023361706
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Entity Type | Individual
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Provider Name | ROSE MURRAY LMT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 01/17/2016
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Provider Practice Location Address
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Address Line | 3025 BULL ST. , #218
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City | SAVANNAH
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State | GA
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Zip | 31405
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Country | UM
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Telephone | 912-401-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 BULL ST 218
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City | SAVANNAH
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State | GA
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Zip | 31405-2016
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Country | US
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Telephone | 912-401-8510
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT004736
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MAS.5562
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License Number State | SC
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