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General NPI Number Information
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NPI Number | 1114574969
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Entity Type | Individual
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Provider Name | YAMILEX MOLINA
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 7 REGENT ST STE 711
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1628
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Country | US
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Telephone | 551-345-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N END DR
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City | SECAUCUS
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State | NJ
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Zip | 07094-4048
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Country | US
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Telephone | 201-640-7453
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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