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NPI 1558142844

NPI 1558142844 : AARON MURRAY : HUNTSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1558142844
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    Entity Type          |    Individual 
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    Provider Name        |    AARON MURRAY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2023
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    Last Update Date     |    10/11/2023
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Provider Practice Location Address
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    Address Line         |    1924 20TH ST 
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    City                 |    HUNTSVILLE
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    State                |    TX
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    Zip                  |    77340-4911
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    Country              |    US
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    Telephone            |    936-668-3214
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1924 20TH ST 
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    City                 |    HUNTSVILLE
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    State                |    TX
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    Zip                  |    77340-4911
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    Country              |    US
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    Telephone            |    936-668-3214
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    29069312
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    License Number State |    TX
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