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General NPI Number Information
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NPI Number | 1639522055
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Entity Type | Organization
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Legal Business Name | MULLEN P.C.
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 200 PARK AVE SUITE 1700
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City | NEW YORK
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State | NY
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Zip | 10166-0005
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Country | US
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Telephone | 646-632-3718
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PARK AVE SUITE 1700
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City | NEW YORK
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State | NY
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Zip | 10166-0005
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Country | US
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Telephone | 646-632-3718
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Fax |
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Authorized Official
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Title or Position | ATTORNEY
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Name | MR. WESLEY M. MULLEN
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Credential | JD
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Telephone | 646-632-3718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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