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General NPI Number Information
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NPI Number | 1265473557
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Entity Type | Individual
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Provider Name | KURT MUELLER DO
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 636 DEL PRADO BLVD S 1030
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City | CAPE CORAL
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State | FL
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Zip | 33990-2668
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Country | US
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Telephone | 239-424-3513
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Fax | 239-424-4039
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Provider Business Mailing Address
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Address Line | 1210 SE 37TH LN
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City | CAPE CORAL
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State | FL
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Zip | 33904-4770
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Country | US
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Telephone | 239-424-3513
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34007419
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS12683
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License Number State | FL
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