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General NPI Number Information
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NPI Number | 1588589972
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Entity Type | Individual
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Provider Name | LILI J MULLANE
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 90 CRYSTAL RUN RD STE 203
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7104
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Country | US
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Telephone | 845-692-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HILLSIDE DR APT F5
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City | MIDDLETOWN
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State | NY
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Zip | 10941-1358
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Country | US
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Telephone | 646-651-6639
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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