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General NPI Number Information
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NPI Number | 1285680157
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Entity Type | Individual
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Provider Name | GUY SCOTT MULLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 409 EXECUTIVE DR
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City | LANGHORNE
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State | PA
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Zip | 19047-8003
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Country | US
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Telephone | 215-860-3400
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Fax | 215-860-8779
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Provider Business Mailing Address
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Address Line | 409 EXECUTIVE DR
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City | LANGHORNE
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State | PA
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Zip | 19047-8003
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Country | US
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Telephone | 215-860-3400
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Fax | 215-860-8779
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-058636L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA-64061
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License Number State | NJ
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