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General NPI Number Information
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NPI Number | 1720626492
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Entity Type | Individual
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Provider Name | KATHLEEN MURRAY D.AC., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 9123 OLD ANNAPOLIS RD
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City | COLUMBIA
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State | MD
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Zip | 21045-1953
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Country | US
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Telephone | 301-686-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 312 BOYD AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-5724
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Country | US
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Telephone | 301-686-4602
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02708
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License Number State | MD
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