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General NPI Number Information
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NPI Number | 1194069591
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Entity Type | Individual
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Provider Name | CONNIE ANITA MULVIHILL NP
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Gender | Female
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 304 TANGER DR STE 221
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City | TERRELL
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State | TX
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Zip | 75160
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Country | US
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Telephone | 972-535-6493
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Fax | 972-551-1418
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Provider Business Mailing Address
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Address Line | 304 TANGER DR STE 221
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City | TERRELL
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State | TX
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Zip | 75160
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Country | US
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Telephone | 972-535-6493
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Fax | 972-551-1418
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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 | 823172
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License Number State | TX
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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 | AP06884
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License Number State | LA
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