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General NPI Number Information
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NPI Number | 1295823912
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Entity Type | Individual
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Provider Name | DAVID R. MULLEN MSW., PH.D
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 606 NORTHEAST BLVD
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City | CLINTON
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State | NC
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Zip | 28328-2023
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Country | US
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Telephone | 910-592-7030
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Fax | 910-592-1630
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Provider Business Mailing Address
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Address Line | 7634 FIRETHORN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9215
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Country | US
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Telephone | 910-592-7030
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Fax | 910-592-1630
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C002115
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3350
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License Number State | NC
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