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General NPI Number Information
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NPI Number | 1982723268
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Entity Type | Individual
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Provider Name | SUE ANN MULVEY RN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 87 STAMBAUGH AVE SUITE 1
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City | SHARON
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State | PA
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Zip | 16146-2775
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Country | US
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Telephone | 724-981-1671
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Fax | 724-981-9444
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Provider Business Mailing Address
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Address Line | 877 FORKER BLVD
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City | SHARON
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State | PA
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Zip | 16146-3646
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Country | US
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Telephone | 724-981-4885
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Fax | 724-981-9444
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN505516L
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License Number State | PA
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