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General NPI Number Information
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NPI Number | 1447612684
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Entity Type | Individual
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Provider Name | CHRISTOPHER MULVEY FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/27/2016
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 401 HIGHLAND AVE
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City | SOMERVILLE
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State | MA
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Zip | 02144-2516
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Country | US
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Telephone | 978-488-0425
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Fax | 978-965-4208
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Provider Business Mailing Address
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Address Line | 401 HIGHLAND AVE
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City | SOMERVILLE
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State | MA
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Zip | 02144-2516
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Country | US
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Telephone | 978-488-0425
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Fax | 978-965-4208
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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 | RN2291877
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License Number State | MA
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