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General NPI Number Information
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NPI Number | 1710290168
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Entity Type | Organization
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Legal Business Name | NEIL D MULCAHY MD INC
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE SUITE 603
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-755-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE SUITE 603
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-755-7552
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Fax |
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Authorized Official
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Title or Position | OTOLARYNGOLOGIST
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Name | DR. NEIL DONALD MULCAHY I
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Credential | MD
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Telephone | 650-755-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A13250
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License Number State | CA
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