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General NPI Number Information
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NPI Number | 1851685572
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Entity Type | Individual
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Provider Name | STEPHEN A MURAK MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 5290 MILITARY RD STE 10A&B
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City | LEWISTON
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State | NY
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Zip | 14092-1953
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Country | US
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Telephone | 716-298-0975
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Fax |
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Provider Business Mailing Address
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Address Line | 45 LENNOX AVE
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City | AMHERST
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State | NY
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Zip | 14226-4226
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Country | US
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Telephone | 716-361-0889
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 276375
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 276375
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License Number State | NY
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