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General NPI Number Information
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NPI Number | 1124125810
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Entity Type | Individual
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Provider Name | BONNIE A MULLER D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1200 STATE ROUTE 208 STE 13
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City | MONROE
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State | NY
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Zip | 10950-4649
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Country | US
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Telephone | 845-783-0911
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Fax | 845-783-9570
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Provider Business Mailing Address
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Address Line | 2 COATES DR
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City | GOSHEN
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State | NY
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Zip | 10924-6758
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Country | US
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Telephone | 845-651-1400
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200614
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License Number State | NY
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