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General NPI Number Information
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NPI Number | 1467945857
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Entity Type | Organization
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Legal Business Name | THOMAS L MURRAY JR PHD PLLC
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 612 N GREENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-2024
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Country | US
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Telephone | 336-604-5100
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Fax | 336-604-5151
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Provider Business Mailing Address
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Address Line | 2711 PINEDALE RD
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City | GREENSBORO
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State | NC
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Zip | 27408-4721
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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 | OWNER
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Name | DR. THOMAS LESTER MURRAY JR.
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Credential | PHD
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Telephone | 336-604-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LMFT1101
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LPCSS5025
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License Number State | NC
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