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General NPI Number Information
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NPI Number | 1164701447
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Entity Type | Organization
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Legal Business Name | MURRAY ANESTHETISTS GROUP, PLLC
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 803 POPLAR STREET
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City | MURRAY
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State | KY
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Zip | 42071-2432
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Country | US
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Telephone | 270-762-1100
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Fax | 270-762-1586
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Provider Business Mailing Address
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Address Line | 632 N 12TH ST # 230
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City | MURRAY
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State | KY
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Zip | 42071-1651
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Country | US
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Telephone | 270-748-6851
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JENNIFER GREEN
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Credential | CRNA
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Telephone | 270-748-6851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | KY
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