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General NPI Number Information
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NPI Number | 1124232574
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Entity Type | Organization
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Legal Business Name | FRANCIS D MULLEN DMD PC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2240 COLISEUM DR SUITE B
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City | HAMPTON
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State | VA
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Zip | 23666-5903
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Country | US
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Telephone | 757-838-8411
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Fax | 757-827-0480
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Provider Business Mailing Address
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Address Line | 2240 COLISEUM DR SUITE B
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City | HAMPTON
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State | VA
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Zip | 23666-5903
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Country | US
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Telephone | 757-838-8411
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Fax | 757-827-0480
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCIS D MULLEN
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Credential | D.M.D
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Telephone | 757-838-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401102054
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License Number State | VA
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