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General NPI Number Information
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NPI Number | 1790989002
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Entity Type | Organization
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Legal Business Name | DR. JAMES MURRAY DDS, PA
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 91 PORTLAND ROAD
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City | KENNEBUNK
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State | ME
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Zip | 04043
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Country | US
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Telephone | 207-985-7337
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Fax | 207-985-7338
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Provider Business Mailing Address
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Address Line | PO BOX 1277
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City | KENNEBUNK
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State | ME
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Zip | 04043-1277
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Country | US
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Telephone | 207-985-7337
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Fax | 207-985-7338
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Authorized Official
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Title or Position | OWNERORTHODONTIST
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Name | DR. JAMES METCALFE MURRAY SR.
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Credential | D.D.S
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Telephone | 207-985-7337
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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 | 2394
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License Number State | ME
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