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General NPI Number Information
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NPI Number | 1831431295
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Entity Type | Organization
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Legal Business Name | MUELLER MENTAL HEALTH, PA
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 13487 WETMORE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3185
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Country | US
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Telephone | 210-545-3113
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Fax | 210-545-3119
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Provider Business Mailing Address
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Address Line | 13487 WETMORE RD
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3185
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Country | US
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Telephone | 210-545-3113
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Fax | 210-545-3119
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC ROBERT MUELLER
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Credential | MD
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Telephone | 210-545-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M4383
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License Number State | TX
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