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General NPI Number Information
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NPI Number | 1265567580
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Entity Type | Individual
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Provider Name | MICHAEL L MULLINS MAPT
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 30 MORRISTOWN RD
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2316
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Country | US
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Telephone | 908-766-5663
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Fax | 908-766-7768
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Provider Business Mailing Address
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Address Line | 3843 BLOOMINGDALE DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-5558
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Country | US
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Telephone | 908-359-2753
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00703500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0139451
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License Number State | NY
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