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General NPI Number Information
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NPI Number | 1538933726
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Entity Type | Organization
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Legal Business Name | WELDON GENE MURRY PLLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 2900 MEDICAL CENTER PKWY STE 140
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City | BENTONVILLE
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State | AR
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Zip | 72712-3212
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Country | US
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Telephone | 479-553-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 W PECAN ST
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City | ROGERS
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State | AR
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Zip | 72756-4332
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Country | US
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Telephone | 903-701-4595
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | WELDON GENE MURRY
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Credential | DPM
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Telephone | 903-701-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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