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General NPI Number Information
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NPI Number | 1083381750
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Entity Type | Organization
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Legal Business Name | JONATHAN B. MURRAY D.M.D., M.S., P.A.
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 2517 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5204
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Country | US
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Telephone | 561-775-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5204
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Country | US
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Telephone | 561-775-7999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN BEN MURRAY
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Credential | DMD, MS
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Telephone | 561-775-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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