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General NPI Number Information
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NPI Number | 1760864862
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Entity Type | Individual
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Provider Name | KAELIE MURRAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 401 SW BELAIR DR
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City | CLATSKANIE
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State | OR
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Zip | 97016-7415
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Country | US
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Telephone | 503-728-5088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | TOPPENISH
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State | WA
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Zip | 98948-0190
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Country | US
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Telephone | 509-865-2395
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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 | 202101535NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60677452
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License Number State | WA
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