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General NPI Number Information
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NPI Number | 1295750800
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Entity Type | Individual
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Provider Name | THOMAS RICHARD MURRAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1171 S 6TH ST STE B
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City | MACCLENNY
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State | FL
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Zip | 32063-4620
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Country | US
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Telephone | 904-721-5909
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Fax | 904-204-1069
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Provider Business Mailing Address
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Address Line | 1171 S 6TH ST STE B
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City | MACCLENNY
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State | FL
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Zip | 32063-4620
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Country | US
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Telephone | 904-721-5909
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Fax | 904-204-1069
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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 | ME0060908
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME0060908
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License Number State | FL
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