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General NPI Number Information
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NPI Number | 1063875490
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Entity Type | Individual
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Provider Name | EVAN ANTHONY MULLOY MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 469-722-5700
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Fax | 833-449-4351
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Provider Business Mailing Address
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Address Line | 9110 E NICHOLS AVE STE 150
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City | CENTENNIAL
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State | CO
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Zip | 80112-3450
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Country | US
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Telephone | 720-666-4739
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 42945
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 92615
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | E-17677
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 70636
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME167214
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 340289
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | U8100
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 171780
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 34075
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License Number State | MS
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Taxonomy #10
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | DR.0072249
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License Number State | CO
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