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General NPI Number Information
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NPI Number | 1538136288
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Entity Type | Individual
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Provider Name | JENNIFER R MURRAY O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 27724 SANTA MARGARITA PKWY
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6653
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Country | US
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Telephone | 949-583-0422
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Fax | 949-583-0417
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Provider Business Mailing Address
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Address Line | 21821 CONSTANCIA
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City | MISSION VIEJO
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State | CA
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Zip | 92692-1017
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Country | US
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Telephone | 949-586-1412
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Fax | 949-585-8240
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9317T
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License Number State | CA
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