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General NPI Number Information
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NPI Number | 1225588247
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Entity Type | Individual
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Provider Name | LARAE MURRAY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 4820 PARK BLVD N SUITE E
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3534
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Country | US
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Telephone | 727-369-6355
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Fax | 727-362-4766
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Provider Business Mailing Address
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Address Line | 9125 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5406
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Country | US
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT16409
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License Number State | FL
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