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General NPI Number Information
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NPI Number | 1003165911
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Entity Type | Individual
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Provider Name | JOY THERESE MULLEN RN, NP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 506 6TH ST EP2
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-5040
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Fax | 718-780-3153
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Provider Business Mailing Address
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Address Line | 506 6TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-3609
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Country | US
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Telephone | 718-780-5040
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Fax | 718-780-3153
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | F306016-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306016-1
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License Number State | NY
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