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General NPI Number Information
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NPI Number | 1871624189
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Entity Type | Individual
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Provider Name | DR. RICHARD MUNRO PURSE
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 6981 N PARK DR 506
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4205
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Country | US
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Telephone | 856-317-0506
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Fax | 856-317-0352
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Provider Business Mailing Address
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Address Line | 6981 N PARK DR 506
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4205
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Country | US
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Telephone | 856-317-0506
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Fax | 856-317-0352
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | OS003000L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MB05883100
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License Number State | NJ
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