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General NPI Number Information
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NPI Number | 1912441932
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Entity Type | Individual
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Provider Name | CHERYL L MCMULLIN PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 202 S WASHINGTON AVE
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City | LUDINGTON
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State | MI
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Zip | 49431-2234
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Country | US
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Telephone | 231-239-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 NE 2ND AVE # 1208
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2310
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Country | US
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Telephone | 844-475-3379
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Fax | 877-878-7135
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071009423
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License Number State | IL
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