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General NPI Number Information
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NPI Number | 1467774646
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Entity Type | Individual
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Provider Name | JENNIFER MURASKI CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 5565 MONTGOMERY HWY
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City | DOTHAN
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State | AL
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Zip | 36303-1552
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Country | US
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Telephone | 334-699-3733
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Fax | 334-500-3007
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Provider Business Mailing Address
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Address Line | 126 CLINIC DR
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City | DOTHAN
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State | AL
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Zip | 36303-1980
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Country | US
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Telephone | 334-793-1881
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Fax | 334-340-5918
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-100696
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License Number State | AL
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