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General NPI Number Information
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NPI Number | 1902358344
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Entity Type | Individual
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Provider Name | KEVIN G MURRAY DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 795 E MARSHALL ST
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City | WEST CHESTER
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State | PA
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Zip | 19380-4400
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Country | US
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Telephone | 610-918-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 123 MADISON WAY
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5340
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Country | US
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Telephone | 949-395-2247
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS041085
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License Number State | PA
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