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General NPI Number Information
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NPI Number | 1760442859
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Entity Type | Individual
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Provider Name | JANET LEE MULLINS MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 16611 S 40 ST SUITE 120
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City | PHOENIX
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State | AZ
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Zip | 85048
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Country | US
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Telephone | 480-706-4100
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Fax | 480-706-2600
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Provider Business Mailing Address
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Address Line | 14436 S 25TH PL
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City | PHOENIX
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State | AZ
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Zip | 85048-8047
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Country | US
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Telephone | 602-618-2461
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Fax | 602-584-8802
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22089
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 86292
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22809
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License Number State | AZ
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