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General NPI Number Information
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NPI Number | 1528358041
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Entity Type | Individual
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Provider Name | MR. BRELIN MURRAY I
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Gender | Male
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 2930 W IMPERIAL HWY STE 200M
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City | INGLEWOOD
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State | CA
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Zip | 90303-3142
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Country | US
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Telephone | 323-754-2989
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Fax |
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Provider Business Mailing Address
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Address Line | 11226 S FIGUEROA ST APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90061-1462
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Country | US
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Telephone | 323-455-0617
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | D8623250
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License Number State | CA
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