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General NPI Number Information
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NPI Number | 1558315952
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Entity Type | Individual
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Provider Name | DARLENE K MULLON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 7751 W FLAMINGO RD SUITE A-100
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City | LAS VEGAS
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State | NV
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Zip | 89147-5401
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Country | US
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Telephone | 702-804-6555
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Fax | 702-804-1998
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Provider Business Mailing Address
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Address Line | PO BOX 6210
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City | FARMINGTON
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State | NM
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Zip | 87499-6210
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 11409
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License Number State | NV
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