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General NPI Number Information
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NPI Number | 1295802080
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Entity Type | Organization
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Legal Business Name | ANDREW K MURRAY DPD PS
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23416 HWY 99 SUITE D
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City | EDMONDS
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State | WA
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Zip | 98026
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Country | US
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Telephone | 425-672-1400
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Fax | 425-672-1408
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Provider Business Mailing Address
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Address Line | 23416 HWY 99 SUITE D
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City | EDMONDS
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State | WA
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Zip | 98026
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Country | US
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Telephone | 425-672-1400
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Fax | 425-672-1408
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW K MURRAY
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Credential | DPD DENTURIST
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Telephone | 425-672-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | DN0000359
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License Number State | WA
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