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General NPI Number Information
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NPI Number | 1013532449
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Entity Type | Individual
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Provider Name | DEREK ALEXANDER MUMAW MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 537 FAUNCE CORNER RD
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City | DARTMOUTH
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State | MA
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Zip | 02747-1242
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Country | US
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Telephone | 508-689-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 795 MIDDLE ST
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City | FALL RIVER
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State | MA
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Zip | 02721-1798
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Country | US
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Telephone | 508-674-5600
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4351046090
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License Number State | MI
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