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General NPI Number Information
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NPI Number | 1114905726
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Entity Type | Individual
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Provider Name | ANGEL MANUEL MOLINA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 9 AVE ESMERALDA URB. MUNOZ RIVERA
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City | GUAYNABO
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State | PR
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Zip | 00969-4430
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Country | US
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Telephone | 787-790-0080
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Fax | 787-720-0620
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Provider Business Mailing Address
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Address Line | 230 CALLE TURPIAL MONTEHIEDRA
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City | SAN JUAN
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State | PR
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Zip | 00926-7112
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Country | US
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Telephone | 787-790-0080
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Fax | 787-720-0620
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 9402
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License Number State | PR
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