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General NPI Number Information
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NPI Number | 1609500545
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Entity Type | Individual
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Provider Name | JUDSON CAVE MURRAY DDS
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Gender | Male
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 5014 MAIN ST
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City | THE COLONY
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State | TX
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Zip | 75056-2250
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Country | US
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Telephone | 469-278-6775
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Fax |
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Provider Business Mailing Address
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Address Line | 114 FOUNTAIN VALLEY CT
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City | LONGVIEW
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State | TX
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Zip | 75605-4725
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Country | US
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Telephone | 903-738-6088
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38641
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License Number State | TX
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