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General NPI Number Information
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NPI Number | 1285666545
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Entity Type | Individual
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Provider Name | ELAINE MURRAY RN CNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 991 SIBLEY MEMORIAL HWY #100
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City | LILYDALE
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State | MN
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Zip | 55118
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Country | US
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Telephone | 651-379-3110
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Fax | 651-379-3111
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Provider Business Mailing Address
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Address Line | 2828 CHICAGO AVE SUITE 400
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1544
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Country | US
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Telephone | 612-863-5390
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Fax | 612-863-2697
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | R0457569
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License Number State | MN
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