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General NPI Number Information
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NPI Number | 1306758156
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Entity Type | Individual
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Provider Name | MACKENZIE MURRIN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 3310 N FEDERAL HWY
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-6742
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Country | US
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Telephone | 954-500-4554
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Fax | 954-400-0904
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Provider Business Mailing Address
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Address Line | 1010 SEMINOLE DR APT 1201
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3221
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9122321
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License Number State | FL
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