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General NPI Number Information
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NPI Number | 1699320762
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Entity Type | Organization
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Legal Business Name | MICHAEL MURASKO DDS INC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2351 S MELROSE DR
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City | VISTA
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State | CA
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Zip | 92081-8788
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Country | US
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Telephone | 760-598-8881
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Fax | 760-598-8271
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Provider Business Mailing Address
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Address Line | 2351 S MELROSE DR
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City | VISTA
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State | CA
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Zip | 92081-8788
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Country | US
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Telephone | 760-598-8881
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Fax | 760-598-8271
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL MURASKO
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Credential |
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Telephone | 760-212-0103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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