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General NPI Number Information
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NPI Number | 1992754048
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Entity Type | Individual
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Provider Name | HARRY DIETER MUELLER MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 2485 39TH AVE
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City | COLUMBUS
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State | NE
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Zip | 68601-2256
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Country | US
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Telephone | 402-563-0123
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Fax | 402-563-3229
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Provider Business Mailing Address
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Address Line | 2329 SAINT ANDREWS DR
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City | COLUMBUS
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State | NE
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Zip | 68601-8199
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Country | US
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Telephone | 402-564-6179
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 20571
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License Number State | NE
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