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General NPI Number Information
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NPI Number | 1144499062
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Entity Type | Organization
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Legal Business Name | JAMES F. MULICK, DDS, INC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 5931 KANAN RD
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City | AGOURA HILLS
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State | CA
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Zip | 91301-1688
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Country | US
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Telephone | 818-991-7522
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Fax | 818-991-6312
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Provider Business Mailing Address
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Address Line | 5931 KANAN RD
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City | AGOURA HILLS
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State | CA
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Zip | 91301-1688
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Country | US
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Telephone | 818-991-7522
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Fax | 818-991-6312
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES F. MULICK I
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Credential | DDS
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Telephone | 818-991-7522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D13402
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License Number State | CA
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