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General NPI Number Information
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NPI Number | 1235428673
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Entity Type | Individual
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Provider Name | AL MOLAI PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 1441 N BECKLEY AVE
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City | DALLAS
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State | TX
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Zip | 75203-1201
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Country | US
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Telephone | 214-942-5733
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 ROUNDROCK TRL
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City | PLANO
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State | TX
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Zip | 75075-2029
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Country | US
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Telephone | 469-231-4526
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07334
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License Number State | TX
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