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General NPI Number Information
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NPI Number | 1265153795
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Entity Type | Individual
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Provider Name | KATHLEEN FRANCES MOLITOR AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 8326 NAAB RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1920
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Country | US
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Telephone | 317-871-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 S WATERLEAF DR
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City | WESTFIELD
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State | IN
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Zip | 46074-7974
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Country | US
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Telephone | 317-514-3634
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28208823A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2022007883
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License Number State | IN
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