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General NPI Number Information
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NPI Number | 1134189814
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Entity Type | Individual
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Provider Name | DARREN EUGENE MULLINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 14 RICHLAND MEDICAL PARK DR STE 410
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City | COLUMBIA
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State | SC
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Zip | 29203-6878
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Country | US
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Telephone | 803-434-8740
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Fax | 803-434-8749
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-695-6697
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 074553
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 21325
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 21325
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License Number State | SC
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