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General NPI Number Information
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NPI Number | 1104081371
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Entity Type | Individual
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Provider Name | JESSICA LEE MULLINS MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2008
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2415 N ORANGE AVE STE 700
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City | ORLANDO
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State | FL
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Zip | 32804-5521
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Country | US
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Telephone | 407-303-2474
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Fax | 407-303-0680
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Provider Business Mailing Address
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Address Line | 2415 N ORANGE AVE STE 700
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City | ORLANDO
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State | FL
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Zip | 32804-5521
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Country | US
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Telephone | 407-303-2474
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Fax | 407-303-0680
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 149792
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License Number State | NC
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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 | Q2470
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 81920
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 81920
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 87821
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME174238
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License Number State | FL
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