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General NPI Number Information
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NPI Number | 1679888515
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Entity Type | Organization
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Legal Business Name | MURRAY ORTHODONTICS
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 1077 RYDAL RD SUITE 300
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City | RYDAL
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State | PA
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Zip | 19046-1712
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Country | US
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Telephone | 215-886-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 RYDAL RD SUITE 300
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City | RYDAL
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State | PA
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Zip | 19046-1712
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Country | US
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Telephone | 215-886-2274
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JOHN MURRAY IV
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Credential | D.M.D., M.S.
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Telephone | 609-387-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS035299
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License Number State | PA
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