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General NPI Number Information
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NPI Number | 1588660997
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Entity Type | Individual
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Provider Name | MICHELLE M MULDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4567 E 9TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3941
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Country | US
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Telephone | 303-320-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 STONEMILL CIR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-4623
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Country | US
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Telephone | 361-500-8488
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 44992
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR0074030
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | L8851
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License Number State | TX
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