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General NPI Number Information
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NPI Number | 1659496792
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Entity Type | Organization
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Legal Business Name | LAURIE MULVEY, MD L.L.C
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 213 NASSAU ST
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City | PRINCETON
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State | NJ
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Zip | 08542-4601
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Country | US
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Telephone | 609-924-1661
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Fax | 609-924-8728
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Provider Business Mailing Address
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Address Line | 213 NASSAU ST
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City | PRINCETON
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State | NJ
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Zip | 08542-4601
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Country | US
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Telephone | 609-924-1661
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Fax | 609-924-8728
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. CINDY WILNO
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Credential |
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Telephone | 609-895-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA03996900
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License Number State | NJ
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