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General NPI Number Information
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NPI Number | 1952960643
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Entity Type | Individual
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Provider Name | BETHANIE KALA MURASKI FNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 5900 N BURDICK ST STE 204206A
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9462
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Country | US
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Telephone | 315-412-0387
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Fax | 315-218-1814
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Provider Business Mailing Address
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Address Line | 5900 N BURDICK ST STE 204206A
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9462
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Country | US
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Telephone | 315-412-0387
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Fax | 315-218-1814
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 344486
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License Number State | NY
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