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General NPI Number Information
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NPI Number | 1811961733
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Entity Type | Individual
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Provider Name | JOANN MURRAY A.T.,C, LAT, LAC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 4530 E RAY RD STE 110
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City | PHOENIX
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State | AZ
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Zip | 85044-6095
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Country | US
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Telephone | 203-740-7500
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Fax | 203-740-1300
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Provider Business Mailing Address
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Address Line | 4530 E RAY RD STE 110
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City | PHOENIX
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State | AZ
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Zip | 85044-6095
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Country | US
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Telephone | 203-512-0572
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Fax | 832-202-0250
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | ATR001440
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ATR001440
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License Number State | AZ
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