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General NPI Number Information
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NPI Number | 1255154647
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Entity Type | Organization
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Legal Business Name | MURRY FAMILY MEDICAL LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 30941 MILL LN STE G-318
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City | SPANISH FORT
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State | AL
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Zip | 36527-5456
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Country | US
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Telephone | 251-219-0965
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Fax |
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Provider Business Mailing Address
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Address Line | 30941 MILL LN STE G-318
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City | SPANISH FORT
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State | AL
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Zip | 36527-5456
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Country | US
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Telephone |
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Fax | 251-257-7057
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Authorized Official
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Title or Position | CEO
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Name | KELVIN LEVAN MURRY
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Credential | PMHNP
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Telephone | 251-219-0965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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