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General NPI Number Information
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NPI Number | 1649857434
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Entity Type | Individual
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Provider Name | KYLIE TAMM MULVANEY DO
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1100 VAN NESS AVE FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6978
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Country | US
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Telephone | 415-750-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PALM AVE APT 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2564
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Country | US
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Telephone | 949-302-6775
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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 | 20A24051
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License Number State | CA
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