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General NPI Number Information
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NPI Number | 1497097554
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Entity Type | Individual
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Provider Name | TERESA H MULAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 20 SYDNEY ROAD
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City | HUNTINGTON
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State | NY
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Zip | 11743-1232
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Country | US
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Telephone | 631-424-7661
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Fax | 631-424-2813
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Provider Business Mailing Address
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Address Line | PO BOX 2189
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City | HALESITE
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State | NY
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Zip | 11743-0808
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Country | US
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Telephone | 631-424-7661
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Fax | 631-424-2813
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 130977
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License Number State | NY
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