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General NPI Number Information
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NPI Number | 1629744750
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Entity Type | Individual
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Provider Name | MR. GARRETT MURRAY JR.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 416 19TH ST S
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City | BESSEMER
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State | AL
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Zip | 35020-5864
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Country | US
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Telephone | 770-861-8129
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Fax |
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Provider Business Mailing Address
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Address Line | 27 LATO RD
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City | SEALE
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State | AL
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Zip | 36875-4001
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Country | US
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Telephone | 770-861-8129
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State | AL
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