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General NPI Number Information
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NPI Number | 1699372813
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Entity Type | Individual
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Provider Name | CHAD MURLA
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Gender | Male
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 1900 LAUDERDALE DR
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City | RICHMOND
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State | VA
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Zip | 23238-3933
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Country | US
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Telephone | 804-740-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 M ST
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City | RICHMOND
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State | VA
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Zip | 23223-6646
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Country | US
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Telephone | 757-842-0817
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119007707
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License Number State | VA
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