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General NPI Number Information
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NPI Number | 1235210725
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Entity Type | Individual
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Provider Name | PHILIP PATRICK MULARONI MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-767-7280
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Fax |
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Provider Business Mailing Address
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Address Line | 601 5TH ST S DEPT 6941
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City | ST PETERSBURG
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State | FL
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Zip | 33701
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Country | US
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Telephone | 727-767-7280
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | ME98420
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | ME98420
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License Number State | FL
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