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General NPI Number Information
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NPI Number | 1851711121
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Entity Type | Individual
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Provider Name | LUIS MURILLO MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 301 S 7TH AVE STE 200
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City | WEST READING
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State | PA
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Zip | 19611-1410
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Country | US
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Telephone | 484-628-8198
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1379
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City | READING
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State | PA
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Zip | 19603-1379
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Country | US
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Telephone | 484-628-0799
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT206083
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD461681
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License Number State | PA
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