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General NPI Number Information
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NPI Number | 1518209501
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Entity Type | Individual
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Provider Name | SCOTT ALLEN MULDER FNP
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Gender | Male
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 2502 CANAL ST
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City | HOUSTON
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State | TX
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Zip | 77003-1523
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Country | US
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Telephone | 713-224-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 CRYSTAL DOVE DR
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City | SPRING
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State | TX
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Zip | 77388-9355
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Country | US
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Telephone | 832-387-0171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 735242
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License Number State | TX
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