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General NPI Number Information
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NPI Number | 1669582896
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Entity Type | Organization
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Legal Business Name | JAIME D MURCIA MD
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 2202 EDGEMERE DR
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City | PLAINVIEW
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State | TX
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Zip | 79072
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Country | US
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Telephone | 806-293-1555
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Fax | 806-296-5657
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Provider Business Mailing Address
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Address Line | PO BOX 800
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City | PLAINVIEW
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State | TX
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Zip | 79073
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Country | US
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Telephone | 806-293-1555
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Fax | 806-296-5657
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAIME DANIEL MURCIA
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Credential | MD
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Telephone | 806-293-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J4661
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | J4661
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License Number State | TX
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