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General NPI Number Information
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NPI Number | 1104151182
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Entity Type | Individual
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Provider Name | MARY ELIZABETH MURALI NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 1159 MATARO CT
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City | PLEASANTON
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State | CA
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Zip | 94566-6981
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Country | US
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Telephone | 925-600-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 1159 MATARO CT
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City | PLEASANTON
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State | CA
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Zip | 94566-6981
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Country | US
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Telephone | 925-600-1154
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 12373
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License Number State | CA
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