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NPI 1386034221

NPI 1386034221 : WILLIAM A MULHOLLAND CNP : AVON PARK, FL

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General NPI Number Information
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    NPI Number           |    1386034221
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM A MULHOLLAND CNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/30/2015
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    Last Update Date     |    05/10/2025
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Provider Practice Location Address
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    Address Line         |    1006 W PLEASANT ST 
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    City                 |    AVON PARK
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    State                |    FL
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    Zip                  |    33825-2966
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    Country              |    US
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    Telephone            |    863-453-3121
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    Fax                  |    863-452-2823
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Provider Business Mailing Address
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    Address Line         |    3625 MANOR DR 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-7620
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    Country              |    US
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    Telephone            |    567-712-4751
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    NP16958
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN11013402
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    License Number State |    FL
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