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General NPI Number Information
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NPI Number | 1831352426
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Entity Type | Organization
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Legal Business Name | JAMES H MULLINS D.M.D. PA
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 1010 W 11TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-2042
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Country | US
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Telephone | 850-763-3622
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 W 11TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-2042
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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 | DENTIST
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Name | DR. JAMES HUGH MULLINS
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Credential | D.M.D.
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Telephone | 850-763-3622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5098
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License Number State | FL
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