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General NPI Number Information
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NPI Number | 1114186509
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Entity Type | Individual
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Provider Name | ALICIA R MURRAY D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 75 S BROADWAY STE406
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4413
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Country | US
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Telephone | 917-881-6516
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Fax | 347-296-3639
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Provider Business Mailing Address
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Address Line | 75 S BROADWAY STE 406
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4413
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Country | US
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Telephone | 917-881-6516
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Fax | 347-296-3639
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 247022
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 247022
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License Number State | NY
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