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General NPI Number Information
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NPI Number | 1144688177
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Entity Type | Organization
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Legal Business Name | K&S MURRAY LLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 5 E JARRARD ST STE 3
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City | CLEVELAND
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State | GA
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Zip | 30528-1270
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Country | US
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Telephone | 706-219-1415
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Fax |
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Provider Business Mailing Address
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Address Line | 5 E JARRARD ST STE 3
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City | CLEVELAND
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State | GA
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Zip | 30528-1270
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Country | US
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Telephone | 706-219-1415
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. LEIGH SUSANN MURRAY
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Credential |
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Telephone | 706-219-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 154R1126
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License Number State | GA
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