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NPI 1902809411

NPI 1902809411 : RAYMOND S. MURANO D.P.M. : MEDFORD, MA

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General NPI Number Information
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    NPI Number           |    1902809411
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    Entity Type          |    Individual 
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    Provider Name        |    RAYMOND S. MURANO D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/30/2005
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    Last Update Date     |    08/19/2024
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Provider Practice Location Address
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    Address Line         |    101 MAIN ST STE 207
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    City                 |    MEDFORD
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    State                |    MA
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    Zip                  |    02155-4530
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    Country              |    US
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    Telephone            |    781-396-0120
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    Fax                  |    781-395-4535
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Provider Business Mailing Address
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    Address Line         |    91 MONTVALE AVE STE 105 
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    City                 |    STONEHAM
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    State                |    MA
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    Zip                  |    02180-3623
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    Country              |    US
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    Telephone            |    781-396-0120
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    Fax                  |    781-395-4535
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    1712
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    License Number State |    MA
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