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General NPI Number Information
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NPI Number | 1447588975
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Entity Type | Individual
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Provider Name | CAROLINE MULDER MD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 810 COLLEGE AVE STE 3
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City | KENTFIELD
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State | CA
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Zip | 94904-2532
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Country | US
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Telephone | 415-924-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 810 COLLEGE AVE STE 3
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City | KENTFIELD
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State | CA
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Zip | 94904-2532
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Country | US
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Telephone | 415-924-3801
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G75410
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License Number State | CA
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