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General NPI Number Information
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NPI Number | 1487941175
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Entity Type | Organization
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Legal Business Name | MURRAY FAMILY DENTISTRY
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 400 S MCCASLIN BLVD STE 207
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City | LOUISVILLE
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State | CO
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Zip | 80027-9701
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Country | US
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Telephone | 303-666-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S MCCASLIN BLVD STE 207
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City | LOUISVILLE
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State | CO
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Zip | 80027-9701
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Country | US
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Telephone | 303-666-4900
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RYAN R MURRAY
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Credential | DDS
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Telephone | 303-666-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10288
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License Number State | CO
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