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General NPI Number Information
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NPI Number | 1245134576
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Entity Type | Individual
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Provider Name | LEILI MOLZAN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 10930 MAGNOLIA BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3903
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Country | US
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Telephone | 818-616-7817
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Fax |
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Provider Business Mailing Address
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Address Line | 931 N HOLLYWOOD WAY # 2080
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City | BURBANK
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State | CA
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Zip | 91505-2816
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN32128
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42898
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 113759
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License Number State | CA
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