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General NPI Number Information
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NPI Number | 1346484086
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Entity Type | Organization
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Legal Business Name | FELICIA MUELLER PLLC
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 51 N SPARTAN AVE SUITE B
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City | FORKS
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State | WA
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Zip | 98331-9051
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Country | US
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Telephone | 360-374-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 751 J ST
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City | FORKS
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State | WA
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Zip | 98331-9165
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Country | US
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Telephone | 360-374-6060
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. FELICIA ANN MUELLER
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Credential | PSY.D.
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Telephone | 360-374-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003795
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License Number State | WA
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