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General NPI Number Information
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NPI Number | 1083178990
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Entity Type | Individual
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Provider Name | MOLLY ANN DINAN PA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 11140 MONTGOMERY RD STE 2500
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City | CINCINNATI
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State | OH
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Zip | 45249-2309
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Country | US
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Telephone | 513-561-7809
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Fax | 513-272-4121
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Provider Business Mailing Address
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Address Line | 11140 MONTGOMERY RD STE 2500
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City | CINCINNATI
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State | OH
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Zip | 45249-2309
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Country | US
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Telephone | 513-617-8095
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Fax | 513-272-4121
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.005708RX
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License Number State | OH
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