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General NPI Number Information
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NPI Number | 1154701969
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Entity Type | Individual
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Provider Name | MOLLY MARIE DOYLE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1150 MASON ST
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City | DEARBORN
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State | MI
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Zip | 48124
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Country | US
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Telephone | 313-429-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 MASON ST
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City | DEARBORN
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State | MI
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Zip | 48124-2801
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Country | US
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Telephone | 248-909-1799
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2901022161
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License Number State | MI
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