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General NPI Number Information
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NPI Number | 1124577366
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Entity Type | Individual
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Provider Name | AMY MURRAY RDN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094-2977
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Country | US
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Telephone | 201-392-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 48 SPRUCE ST
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City | NUTLEY
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State | NJ
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Zip | 07110-1063
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Country | US
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Telephone | 224-436-2606
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1081440
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1081440
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License Number State |
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