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General NPI Number Information
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NPI Number | 1134263262
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Entity Type | Organization
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Legal Business Name | MURRAY MURRAY AND GROVES INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 107 DOCTORS DR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1720
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Country | US
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Telephone | 304-842-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 107 DOCTORS DR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1720
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Country | US
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Telephone | 304-842-6226
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. HARRY M MURRAY III
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Credential | OD
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Telephone | 304-842-6226
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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 |
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License Number State |
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