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General NPI Number Information
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NPI Number | 1720437403
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Entity Type | Individual
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Provider Name | JESSICA MULHERN D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 21 INDUSTRIAL BLVD
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City | PAOLI
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State | PA
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Zip | 19301-1610
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Country | US
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Telephone | 610-640-7434
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 FOREST CREEK DR
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City | BLUE BELL
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State | PA
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Zip | 19422-3651
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS020646
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License Number State | PA
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