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General NPI Number Information
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NPI Number | 1447463385
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Entity Type | Organization
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Legal Business Name | IRWAN H. MURNI, D.M.D
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/22/2008
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Provider Practice Location Address
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Address Line | 1176 OLIVEWOOD DR
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City | MERCED
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State | CA
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Zip | 95348-1210
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Country | US
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Telephone | 209-722-7847
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Fax | 209-722-9227
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Provider Business Mailing Address
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Address Line | 1176 OLIVEWOOD DR
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City | MERCED
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State | CA
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Zip | 95348-1210
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Country | US
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Telephone | 209-722-7847
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Fax | 209-722-9227
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRWAN MURNI H
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Credential | DMD
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Telephone | 209-722-7847
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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 | 39453
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License Number State | CA
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