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General NPI Number Information
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NPI Number | 1164811709
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Entity Type | Individual
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Provider Name | ELIZABETH MULCAHY N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 66 BRAMHALL ST STE G1
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City | PORTLAND
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State | ME
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Zip | 04102-3344
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Country | US
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Telephone | 207-662-3157
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Fax | 207-662-6434
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Provider Business Mailing Address
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Address Line | 1936 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70130-5016
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Country | US
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Telephone | 504-529-5558
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP08143
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP221119
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License Number State | ME
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