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General NPI Number Information
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NPI Number | 1235983842
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Entity Type | Individual
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Provider Name | MA CRISTINA MOLINA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1814 59TH ST W
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City | BRADENTON
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State | FL
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Zip | 34209-4630
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Country | US
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Telephone | 407-851-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 7971 NW 201ST TER
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City | HIALEAH
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State | FL
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Zip | 33015-5938
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Country | US
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Telephone | 325-513-9874
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11032295
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License Number State | FL
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