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General NPI Number Information
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NPI Number | 1063473411
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Entity Type | Individual
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Provider Name | DANIEL L MULKERIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14642-5958
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Country | US
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Telephone | 585-275-5823
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 704
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City | ROCHESTER
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State | NY
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Zip | 14642-5958
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Country | US
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Telephone |
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 34545
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 311315
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 34545
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License Number State | WI
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