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General NPI Number Information
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NPI Number | 1619681970
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Entity Type | Individual
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Provider Name | ANDREW MULLEN LPC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 175 STRAFFORD AVE STE 4
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City | WAYNE
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State | PA
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Zip | 19087-3340
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Country | US
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Telephone | 484-686-9995
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Fax |
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Provider Business Mailing Address
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Address Line | 232 UPPER GULPH RD
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City | RADNOR
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State | PA
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Zip | 19087-3749
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Country | US
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Telephone | 484-686-9995
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PCO14469
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License Number State | PA
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