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General NPI Number Information
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NPI Number | 1225574205
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Entity Type | Individual
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Provider Name | DIANA MOLINA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 700 COLORADO BLVD STE 31
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City | DENVER
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State | CO
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Zip | 80206-4084
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Country | US
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Telephone | 303-385-8466
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Fax | 303-800-8290
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Provider Business Mailing Address
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Address Line | 700 COLORADO BLVD STE 31
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City | DENVER
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State | CO
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Zip | 80206-4084
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Country | US
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Telephone | 303-385-8466
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Fax | 303-800-8290
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 3531
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License Number State | NM
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