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General NPI Number Information
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NPI Number | 1205210150
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Entity Type | Individual
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Provider Name | SAMUEL S MURALA M.D.,
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Gender | Male
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 1101 PROFESSIONAL BLVD STE 100
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City | EVANSVILLE
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State | IN
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Zip | 47714
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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Provider Business Mailing Address
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Address Line | 1101 PROFESSIONAL BLVD STE 100
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City | EVANSVILLE
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State | IN
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Zip | 47714-8018
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Country | US
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Telephone | 812-477-7246
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Fax | 812-477-7240
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 52324
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 295616
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 01081583A
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License Number State | IN
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