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General NPI Number Information
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NPI Number | 1609900950
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Entity Type | Individual
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Provider Name | KIYOSHI GARY MURAKAMI D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 129TH INFANTRY DR.
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City | JOLIET
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State | IL
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Zip | 60435
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Country | US
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Telephone | 815-355-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 4248 BELLEAIRE LANE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515
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Country | US
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Telephone | 630-324-4730
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Fax | 630-324-4751
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State | IL
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