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General NPI Number Information
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NPI Number | 1588854582
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Entity Type | Organization
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Legal Business Name | MUEHLBERG MEDICAL, LLC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 1087 WARWICK AVE UNIT 1
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City | WARWICK
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State | RI
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Zip | 02888-3545
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Country | US
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Telephone | 401-383-7100
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Fax | 401-383-7101
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Provider Business Mailing Address
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Address Line | 1087 WARWICK AVE UNIT 1
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City | WARWICK
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State | RI
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Zip | 02888-3545
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Country | US
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Telephone | 401-383-7100
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Fax | 401-383-7101
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. AMI BETH MUEHLBERG
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Credential | D.O.
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Telephone | 401-383-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO00580
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License Number State | RI
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