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General NPI Number Information
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NPI Number | 1245630581
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Entity Type | Organization
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Legal Business Name | JAMES MUELLER LLC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 1575 FAIRVIEW BEACH RD # D3
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City | PASADENA
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State | MD
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Zip | 21122-3202
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Country | US
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Telephone | 443-221-9877
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Fax |
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Provider Business Mailing Address
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Address Line | 298 3RD ST
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City | BALTIMORE
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State | MD
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Zip | 21206-1201
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Country | US
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Telephone | 443-221-9877
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | MR. JAMES REYNOLDS MUELLER
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Credential | LCSW-C
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Telephone | 443-221-9877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18592
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License Number State | MD
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