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General NPI Number Information
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NPI Number | 1629664743
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Entity Type | Individual
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Provider Name | AMBER IMAN MURRY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 8000 BROADVIEW VILLAGE SQ
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City | BROADVIEW
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State | IL
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Zip | 60155-2601
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Country | US
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Telephone | 708-410-2957
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S FINANCIAL PL APT 1702
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City | CHICAGO
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State | IL
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Zip | 60605-1794
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Country | US
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Telephone | 847-769-3237
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051300961
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License Number State | IL
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