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General NPI Number Information
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NPI Number | 1407647951
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Entity Type | Individual
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Provider Name | MS. COURTNEY ELIZABETH MULKINS
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 6423 STATE RTE 55
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City | WINGDALE
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State | NY
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Zip | 12580
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Country | US
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Telephone | 845-832-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 137 E COOKINGHAM DR
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City | STAATSBURG
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State | NY
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Zip | 12580-5650
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Country | US
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Telephone | 845-407-1996
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NY
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