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NPI 1033287230

NPI 1033287230 : NOEL MOLINI DMD : HUMACAO, PR

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General NPI Number Information
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    NPI Number           |    1033287230
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    Entity Type          |    Individual 
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    Provider Name        |    NOEL MOLINI DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    REPARTO MENDOZA B3 
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-3745
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    Country              |    US
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    Telephone            |    787-850-2600
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    Fax                  |    787-850-7779
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Provider Business Mailing Address
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    Address Line         |    REPARTO MENDOZA B3 
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-3745
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    Country              |    US
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    Telephone            |    787-850-2600
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    Fax                  |    787-850-7779
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    438
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    License Number State |    PR
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