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General NPI Number Information
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NPI Number | 1124201900
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Entity Type | Organization
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Legal Business Name | JOHN MULLEN MD PS
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 1221 MADISON ST #1210
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City | SEATTLE
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State | WA
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Zip | 98104-1356
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Country | US
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Telephone | 206-292-6488
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Fax | 206-623-2436
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Provider Business Mailing Address
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Address Line | 1221 MADISON ST #1210
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City | SEATTLE
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State | WA
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Zip | 98104-1356
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Country | US
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Telephone | 206-292-6488
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Fax | 206-623-2436
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Authorized Official
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Title or Position | MEDICAL PROVIDER
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Name | DR. JOHN STEELE MULLEN
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Credential | MD
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Telephone | 206-292-6488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | WA
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