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General NPI Number Information
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NPI Number | 1154556264
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Entity Type | Individual
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Provider Name | PAUL HIROTSUNE MURATA M.ED., ATC
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Gender | Male
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1101 PHARMACY AVENUE SUITE 401
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City | TORONTO
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State | ONTARIO
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Zip | M1R 2H2
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Country | CA
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Telephone | 647-802-8902
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 PHARMACY AVENUE SUITE 401
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City | TORONTO
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State | ONTARIO
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Zip | M1R 2H2
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Country | CA
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Telephone |
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT003168
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126001359
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License Number State | VA
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