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General NPI Number Information
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NPI Number | 1922648047
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Entity Type | Organization
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Legal Business Name | JOHN A. MURRELL, DDS, PLLC DBA RALEIGH PROSTHODONTICS
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 2605 BLUE RIDGE RD STE 310
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City | RALEIGH
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State | NC
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Zip | 27607-6475
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Country | US
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Telephone | 919-510-4959
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Fax | 919-510-7989
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Provider Business Mailing Address
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Address Line | 2605 BLUE RIDGE RD STE 310
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City | RALEIGH
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State | NC
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Zip | 27607-6475
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Country | US
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Telephone | 919-510-4959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ABBOTT MURRELL
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Credential | DDS
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Telephone | 919-510-4959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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