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General NPI Number Information
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NPI Number | 1497751762
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Entity Type | Individual
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Provider Name | ERNEST AUBREY MURDEN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 05/25/2014
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Provider Practice Location Address
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Address Line | 4020 RAINTREE RD STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3749
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Country | US
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Telephone | 757-488-2080
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Fax | 757-405-3025
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Provider Business Mailing Address
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Address Line | 1245 CEDAR RD STE G PMB #312
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7141
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Country | US
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Telephone | 757-488-2080
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Fax | 757-405-3025
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101016485
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 14468
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License Number State | NC
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