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General NPI Number Information
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NPI Number | 1134561665
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Entity Type | Organization
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Legal Business Name | MURRAY CHIROPRACTIC AND ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 221 N ANDERSON ST
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City | SULLIVAN
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State | IL
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Zip | 61951-1001
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Country | US
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Telephone | 217-728-8888
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Fax | 217-728-8801
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Provider Business Mailing Address
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Address Line | PO BOX 408
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City | SULLIVAN
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State | IL
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Zip | 61951-0408
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Country | US
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Telephone | 217-728-8888
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Fax | 217-728-8801
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Authorized Official
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Title or Position | OWNER
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Name | DR. QUINTIN W MURRAY
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Credential | D.C.
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Telephone | 217-728-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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