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General NPI Number Information
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NPI Number | 1982924049
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Entity Type | Individual
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Provider Name | NEISHA T MULCHAN APRNFNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2295 S HIAWASSEE RD
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City | ORLANDO
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State | FL
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Zip | 32835-8746
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Country | US
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Telephone | 407-740-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 W HOBSONWAY
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City | BLYTHE
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State | CA
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Zip | 92225-1479
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95017993
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | APRN9222221
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9222221
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9222221
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License Number State | FL
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