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General NPI Number Information
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NPI Number | 1679569107
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Entity Type | Individual
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Provider Name | THOMAS DOUGLAS MURRAY MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 317 WEST ST
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City | CALDWELL
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State | OH
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Zip | 43724-1338
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Country | US
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Telephone | 740-732-7022
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Fax | 740-732-7149
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Provider Business Mailing Address
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Address Line | 317 WEST ST
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City | CALDWELL
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State | OH
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Zip | 43724-1338
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Country | US
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Telephone | 740-732-7022
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Fax | 740-732-7149
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME37864
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 35-07-8057M
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 9700681
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 0101058597
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License Number State | VA
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