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General NPI Number Information
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NPI Number | 1821278987
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Entity Type | Organization
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Legal Business Name | MCMURDO FAMILY VISION CARE, P.A.
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 13300 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-4887
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Country | US
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Telephone | 352-597-3935
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Fax | 352-596-2668
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Provider Business Mailing Address
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Address Line | 13300 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-4887
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Country | US
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Telephone | 352-597-3935
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Fax | 352-596-2668
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. REBECCA JANE MCMURDO
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Credential | O.D.
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Telephone | 351-597-3935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3711
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License Number State | FL
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