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General NPI Number Information
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NPI Number | 1730359092
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Entity Type | Individual
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Provider Name | GORDON J. MURRAY D.D.S
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Gender | Male
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 8551 W LAKE MEAD BLVD STE 260
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City | LAS VEGAS
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State | NV
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Zip | 89128
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Country | US
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Telephone | 702-228-2218
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Fax | 702-228-7411
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Provider Business Mailing Address
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Address Line | 8551 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89128-7642
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Country | US
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Telephone | 702-228-2218
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Fax | 702-228-7411
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2057
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License Number State | NV
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