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General NPI Number Information
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NPI Number | 1992076640
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Entity Type | Individual
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Provider Name | KELLY W MURAKATA AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 28 VALLEY RD # 148
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2709
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Country | US
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Telephone | 201-273-7047
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Fax | 609-998-4358
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Provider Business Mailing Address
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Address Line | 18 VICTOR AVE
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City | EATONTOWN
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State | NJ
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Zip | 07724-1321
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Country | US
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Telephone | 732-337-0220
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Fax | 732-389-0562
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00607000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00607000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00607000
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License Number State | NJ
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