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General NPI Number Information
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NPI Number | 1154756633
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Entity Type | Organization
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Legal Business Name | PAUL J MULLEN PSY D P C
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1776 LEGACY CIR STE 114
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City | NAPERVILLE
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State | IL
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Zip | 60563-1673
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Country | US
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Telephone | 630-653-1000
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Fax | 630-653-1010
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Provider Business Mailing Address
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Address Line | 1776 LEGACY CIR STE 114
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City | NAPERVILLE
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State | IL
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Zip | 60563-1673
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Country | US
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Telephone | 630-653-1000
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Fax | 630-653-1010
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. PAUL MULLEN
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Credential | PSY.D.
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Telephone | 630-653-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071-006034
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License Number State | IL
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