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General NPI Number Information
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NPI Number | 1407206626
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Entity Type | Individual
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Provider Name | THOMAS RICHARD MURRAY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2016
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2359 MARBLEVISTA BLVD
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City | COLUMBUS
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State | OH
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Zip | 43204-9007
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Country | US
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Telephone | 800-348-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARYLAND FARMS STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5780
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Country | US
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Telephone | 800-348-4565
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125.069499
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 34.016096
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License Number State | OH
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