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General NPI Number Information
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NPI Number | 1902955313
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Entity Type | Individual
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Provider Name | LAURA S MUELLER MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 2327 LIME KILN LN STE A
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City | LOUISVILLE
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State | KY
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Zip | 40222-3422
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Country | US
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Telephone | 502-339-2818
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Fax | 502-339-2820
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Provider Business Mailing Address
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Address Line | 1008 OXMOOR WOODS PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-5582
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Country | US
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Telephone | 502-468-9812
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 28839
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 28839
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License Number State | KY
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