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General NPI Number Information
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NPI Number | 1386670024
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Entity Type | Individual
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Provider Name | MARCIA S MULCAHEY NP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 919 12TH PL
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone | 602-851-3030
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Fax | 877-357-9474
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Provider Business Mailing Address
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Address Line | 919 12TH PL
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City | PRESCOTT
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State | AZ
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Zip | 86305-1433
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP8044
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License Number State | AZ
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