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General NPI Number Information
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NPI Number | 1306287180
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Entity Type | Individual
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Provider Name | NICOLE BENOIT MURRAY DDS MPH
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1215 S 11TH ST
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City | TACOMA
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State | WA
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Zip | 98405-4020
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Country | US
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Telephone | 253-280-9840
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Fax | 253-272-1952
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Provider Business Mailing Address
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Address Line | PO BOX 34703
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City | SEATTLE
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State | WA
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Zip | 98124-1703
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Country | US
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Telephone |
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60262526
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60262526
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License Number State | WA
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