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General NPI Number Information
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NPI Number | 1083607295
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Entity Type | Individual
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Provider Name | MARK E MUELLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 41011 CALIFORNIA OAKS RD STE 103
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City | MURRIETA
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State | CA
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Zip | 92562-5751
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Country | US
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Telephone | 951-676-4193
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Fax |
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Provider Business Mailing Address
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Address Line | 41923 2ND ST STE 204
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City | TEMECULA
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State | CA
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Zip | 92590-2833
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00029384
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00029384
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17998
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License Number State | NV
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