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General NPI Number Information
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NPI Number | 1891791190
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Entity Type | Individual
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Provider Name | MARLA L MURRAY-KOSS APNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1202 COUNTY ROAD PH STE 100
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City | ONALASKA
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State | WI
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Zip | 54650-8440
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Country | US
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Telephone | 608-781-2225
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Fax | 608-781-2495
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Provider Business Mailing Address
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Address Line | 1202 COUNTY ROAD PH STE 100 P.O. BOX 783
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City | ONALASKA
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State | WI
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Zip | 54650-8440
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Country | US
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Telephone | 608-781-2225
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Fax | 608-781-2495
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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 | 2529
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License Number State | WI
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