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General NPI Number Information
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NPI Number | 1356679393
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Entity Type | Organization
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Legal Business Name | MURLEY OPTOMETRIC INC., P.C.
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 4205 COMMERCE DR
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City | LAFAYETTE
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State | IN
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Zip | 47905-3800
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Country | US
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Telephone | 765-446-0058
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Fax | 765-446-1331
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Provider Business Mailing Address
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Address Line | 21 DRAWBRIDGE CT
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City | LAFAYETTE
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State | IN
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Zip | 47905-7812
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Country | US
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Telephone | 765-448-1130
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Fax | 765-446-1331
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIN MURLEY
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Credential | O.D.
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Telephone | 765-448-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 18002636AB
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002636AB
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License Number State | IN
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