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General NPI Number Information
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NPI Number | 1275639205
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Entity Type | Individual
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Provider Name | IAN BLAIR MURTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 7770 MORRO RD
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City | ATASCADERO
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State | CA
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Zip | 93422-4417
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Country | US
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Telephone | 805-461-1929
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Fax | 805-461-5201
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Provider Business Mailing Address
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Address Line | 7770 MORRO RD
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City | ATASCADERO
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State | CA
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Zip | 93422-4417
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Country | US
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Telephone | 805-461-1929
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Fax | 805-461-5201
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A82807
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License Number State | CA
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