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General NPI Number Information
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NPI Number | 1811953904
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Entity Type | Individual
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Provider Name | TIMOTHY ROBERT MURRAY MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 95 MONTGOMERY DR STE 104
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City | SANTA ROSA
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State | CA
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Zip | 95404-6617
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Country | US
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Telephone | 707-525-2902
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Fax | 707-525-2904
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Provider Business Mailing Address
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Address Line | PO BOX 67000 DEPARTMENT 272801
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City | DETROIT
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State | MI
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Zip | 48267-2728
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Country | US
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Telephone | 517-782-3190
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Fax | 517-782-1223
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 34748
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4301072911
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | G159696
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 34748
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License Number State | CA
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