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General NPI Number Information
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NPI Number | 1700922242
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Entity Type | Individual
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Provider Name | DAVID K MURNAN OD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 236 TOM HILL SR BLVD
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City | MACON
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State | GA
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Zip | 31210-1815
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Country | US
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Telephone | 478-471-7686
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Fax | 478-746-9865
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Provider Business Mailing Address
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Address Line | 3131 PIO NONO AVE
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City | MACON
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State | GA
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Zip | 31206-3027
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Country | US
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Telephone | 478-781-2159
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Fax | 478-746-9865
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT001561
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License Number State | GA
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