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General NPI Number Information
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NPI Number | 1891737797
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Entity Type | Individual
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Provider Name | KENDALYN JEAN MURRAY MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 3909 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3602
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Country | US
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Telephone | 810-762-3662
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Fax |
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Provider Business Mailing Address
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Address Line | 896 LONG LAKE DR
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City | BRIGHTON
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State | MI
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Zip | 48114-9643
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Country | US
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Telephone | 810-632-1042
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 4301071425
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License Number State | MI
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