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General NPI Number Information
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NPI Number | 1659119568
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Entity Type | Individual
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Provider Name | DR. ALEXANDER MULL
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Gender | Male
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 3735 SW 8TH ST STE 201
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City | CORAL GABLES
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State | FL
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Zip | 33134-3161
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Country | US
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Telephone | 305-200-3921
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Fax |
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Provider Business Mailing Address
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Address Line | 12525 NE 13TH AVE APT 306
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5131
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Country | US
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Telephone | 765-586-9193
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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