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General NPI Number Information
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NPI Number | 1063490951
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Entity Type | Individual
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Provider Name | DONALD RAY MURPHY O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 96 SHIAWASSEE AVE
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City | FAIRLAWN
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State | OH
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Zip | 44333-3732
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Country | US
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Telephone | 330-867-2525
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Fax | 330-867-2049
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Provider Business Mailing Address
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Address Line | 96 SHIAWASSEE AVE
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City | FAIRLAWN
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State | OH
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Zip | 44333-3732
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Country | US
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Telephone | 330-867-2525
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Fax | 330-867-2049
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3040-007
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License Number State | OH
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