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General NPI Number Information
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NPI Number | 1174719892
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Entity Type | Organization
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Legal Business Name | RICHARD A MULLER MD
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 10480 US ROUTE 11
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City | ADAMS
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State | NY
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Zip | 13605-2118
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Country | US
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Telephone | 315-232-4040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | ADAMS
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State | NY
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Zip | 13605-0056
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Country | US
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Telephone | 315-232-4040
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. RICHARD ANDREW MULLER
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Credential | MD
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Telephone | 315-232-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 148723
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License Number State | NY
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