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NPI 1588893663

NPI 1588893663 : ROBIN L MURRAY RDH : LEBANON, NH

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General NPI Number Information
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    NPI Number           |    1588893663
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN L MURRAY RDH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/09/2009
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    Last Update Date     |    07/09/2009
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Provider Practice Location Address
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    Address Line         |    1 COURT ST STE 270 
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    City                 |    LEBANON
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    State                |    NH
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    Zip                  |    03766-6313
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    Country              |    US
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    Telephone            |    603-448-1830
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    179 UPPER TURNPIKE RD 
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    City                 |    NORWICH
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    State                |    VT
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    Zip                  |    05055-9557
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    Country              |    US
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    Telephone            |    802-649-1892
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    2814
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    License Number State |    NH
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