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General NPI Number Information
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NPI Number | 1225559941
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Entity Type | Individual
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Provider Name | MADELINE MOLINA CPL
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Gender | Female
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | CARR 867 KM7. 07 PARCELA 133 BO SABANA SECA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-230-7087
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 867 KM7.07 PARCELA 133 BO SABANA SECA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-230-7087
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1180
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License Number State | PR
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