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NPI 1134203920

NPI 1134203920 : CHADD S MURRAY MD : KEARNEY, NE

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General NPI Number Information
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    NPI Number           |    1134203920
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    Entity Type          |    Individual 
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    Provider Name        |    CHADD S MURRAY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/25/2006
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    Last Update Date     |    07/29/2019
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Provider Practice Location Address
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    Address Line         |    816 22ND AVE SUITE 100
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68845-2206
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    Country              |    US
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    Telephone            |    308-865-2263
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    Fax                  |    308-865-2541
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Provider Business Mailing Address
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    Address Line         |    PO BOX 670 
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68848
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    Country              |    US
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    Telephone            |    308-865-2141
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    Fax                  |    308-234-7582
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    21152
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    License Number State |    NE
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