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General NPI Number Information
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NPI Number | 1033221734
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Entity Type | Individual
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Provider Name | NICK J MULCHIN DO
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 272 BENEDICT AVENUE
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City | NORWALK
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State | OH
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Zip | 44857-2374
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Country | US
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Telephone | 419-668-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 3180 KETTERING BOULEVARD
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City | DAYTON
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-293-0247
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Fax | 937-293-0960
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34001969M
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License Number State | OH
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