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General NPI Number Information
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NPI Number | 1023659794
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Entity Type | Individual
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Provider Name | MASON T MURSKI FNP
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Gender | Male
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD STE 2017
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City | KANSAS CITY
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State | KS
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Zip | 66160-8500
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Country | US
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Telephone | 816-277-7859
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Fax |
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Provider Business Mailing Address
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Address Line | 19408 BRYN MAWR DR
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1460
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Country | US
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Telephone | 816-277-7859
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 53-79003-031
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License Number State | KS
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