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General NPI Number Information
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NPI Number | 1144236100
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Entity Type | Individual
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Provider Name | DAVID PAUL MUELLER DDS
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 1157 FIRST COLONIAL RD. SUITE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3171
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Country | US
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Telephone | 757-496-8066
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Fax | 757-496-8766
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Provider Business Mailing Address
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Address Line | 1157 FIRST COLONIAL RD STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2432
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Country | US
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Telephone | 757-496-8066
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Fax | 757-496-8766
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 0438000177
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401007897
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0438000177
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License Number State | VA
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