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General NPI Number Information
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NPI Number | 1609114685
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Entity Type | Individual
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Provider Name | WILLIAM CREAGH MULFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 21818 OAKLEY ROAD
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City | AVENUE
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State | MD
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Zip | 20609
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Country | US
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Telephone | 301-769-3450
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Fax | 301-769-3450
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | AVENUE
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State | MD
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Zip | 20609
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0007747
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License Number State | MD
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