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General NPI Number Information
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NPI Number | 1689800880
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Entity Type | Individual
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Provider Name | EMILY BLAND MULLEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 145 SUNSET CT STE 100
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-2429
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Country | US
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Telephone | 803-739-3550
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Fax | 803-739-3546
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST SUITE 1006
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-7300
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2013-00885
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME113025
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 93584
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License Number State | SC
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