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General NPI Number Information
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NPI Number | 1952180705
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Entity Type | Organization
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Legal Business Name | MURRAY MEDICAL ALLIANCE LLC
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 302 KAKI ST
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City | IUKA
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State | MS
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Zip | 38852-1197
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Country | US
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Telephone | 662-423-3662
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Fax | 662-423-2509
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | IUKA
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State | MS
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Zip | 38852-0144
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Country | US
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Telephone | 662-740-0334
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Fax | 662-200-5958
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRADLEY MURRAY
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Credential | MD
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Telephone | 662-279-0334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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