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General NPI Number Information
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NPI Number | 1487815718
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Entity Type | Organization
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Legal Business Name | IMUR FAMILY MEDICAL
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 7310 S WESTMORELAND RD SUITE 9
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City | DALLAS
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State | TX
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Zip | 75237-2998
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Country | US
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Telephone | 972-780-1122
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Fax | 972-780-1295
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Provider Business Mailing Address
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Address Line | 7310 S. WESTMORELAND SUITE 9
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 972-780-1122
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Fax | 972-780-1295
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRA O MURCHISON
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Credential | D.O.
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Telephone | 469-767-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F9861
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License Number State | TX
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