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General NPI Number Information
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NPI Number | 1679102420
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Entity Type | Individual
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Provider Name | JOSEPH JOHN MURCKO IV DO
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Gender | Male
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 3101 SHIPPERS RD STE 203
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City | VESTAL
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State | NY
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Zip | 13850-2082
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Country | US
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Telephone | 607-786-4822
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Fax | 607-251-2009
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Provider Business Mailing Address
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Address Line | 3101 SHIPPERS RD STE 203
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City | VESTAL
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State | NY
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Zip | 13850-2082
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Country | US
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Telephone | 607-786-4822
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Fax | 607-251-2009
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202300011
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License Number State | NC
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