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General NPI Number Information
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NPI Number | 1144477654
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Entity Type | Individual
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Provider Name | RYAN RAPHAEL MURRAY D.D.S
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 400 S MCCASLIN BLVD STE 207
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City | LOUISVILLE
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State | CO
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Zip | 80027-9701
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Country | US
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Telephone | 303-666-4900
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Fax | 303-666-4900
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Provider Business Mailing Address
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Address Line | 133 MCCASLIN BLVD UNIT B
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City | LOUISVILLE
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State | CO
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Zip | 80027-9412
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Country | US
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Telephone | 303-666-4900
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Fax | 303-666-4902
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10288
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License Number State | CO
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