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General NPI Number Information
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NPI Number | 1114435872
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Entity Type | Organization
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Legal Business Name | SHERO HOUSECALLS LLC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 226 DICKENS CT
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2837
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Country | US
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Telephone | 856-325-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 226 DICKENS CT
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2837
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Country | US
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Telephone | 856-325-9301
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MRS. PAULA SOPHIA MULLINER
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Credential | NP
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Telephone | 856-325-9301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1578729943
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License Number State | NJ
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