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General NPI Number Information
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NPI Number | 1144676636
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Entity Type | Individual
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Provider Name | TEREZA MOLFINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 18404 N TATUM BLVD STE 101
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City | PHOENIX
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State | AZ
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Zip | 85032-1511
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Country | US
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Telephone | 602-992-1900
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Fax | 602-485-7450
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Provider Business Mailing Address
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Address Line | 45 MOHOULI ST. HAWAII ISLAND FAMILY MEDICINE RESIDENCY
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City | HILO
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State | HI
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Zip | 96720
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Country | US
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Telephone | 808-932-3186
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Fax | 808-932-4303
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58479
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License Number State | AZ
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