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General NPI Number Information
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NPI Number | 1508440363
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Entity Type | Individual
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Provider Name | CARLY ANN MUELLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 303 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5525
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Country | US
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Telephone | 215-335-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BYRON DR
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-4701
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Country | US
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Telephone | 267-566-3603
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP023354
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP023354
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License Number State | PA
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