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General NPI Number Information
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NPI Number | 1770426140
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Entity Type | Organization
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Legal Business Name | NI SAMUEL MULLEN DDS AND KALEB MURRAY DDS DENTAL LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 600 VICNAIRE ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2038
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Country | US
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Telephone | 337-483-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 600 VICNAIRE ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KALEB MURRAY
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Credential | DDS
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Telephone | 504-615-1264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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