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General NPI Number Information
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NPI Number | 1124014329
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Entity Type | Organization
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Legal Business Name | FERDINAND J. MUELLER, LTD.
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 180 S 3RD ST SUITE 200
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City | BELLEVILLE
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State | IL
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Zip | 62220-1952
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Country | US
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Telephone | 618-233-0017
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Fax | 618-233-0251
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Provider Business Mailing Address
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Address Line | 180 S 3RD ST SUITE 200
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City | BELLEVILLE
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State | IL
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Zip | 62220-1952
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Country | US
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Telephone | 618-233-0017
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Fax | 618-233-0251
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN V. MUELLER
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Credential | M.D.
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Telephone | 618-233-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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