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General NPI Number Information
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NPI Number | 1184640773
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Entity Type | Individual
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Provider Name | JAIME L MOLINA-MARINEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 123 CONHOCTON ST STE 101
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City | CORNING
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State | NY
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Zip | 14830-2959
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Country | US
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Telephone | 607-438-1200
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Fax | 607-936-6836
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Provider Business Mailing Address
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Address Line | 600 IVY ST STE 206
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City | ELMIRA
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State | NY
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Zip | 14905-1627
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Country | US
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Telephone | 607-271-2050
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Fax | 607-271-2071
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 044559
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD443992
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD443992
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 282931
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 282931
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MA07804100
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License Number State | NJ
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