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General NPI Number Information
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NPI Number | 1922204809
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Entity Type | Organization
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Legal Business Name | RICHARD C MCCLURG, OD & WILLIAM MURRAY, OD LLC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 20 S HIGH ST
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-1251
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Country | US
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Telephone | 614-837-7725
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Fax | 614-837-7301
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Provider Business Mailing Address
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Address Line | 20 S HIGH ST
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-1251
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Country | US
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Telephone | 614-837-7725
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Fax | 614-837-7301
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Authorized Official
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Title or Position | OWNER
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Name | WILLAIM D MURRAY
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Credential | O.D.
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Telephone | 614-837-7725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4577-
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License Number State | OH
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