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General NPI Number Information
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NPI Number | 1275899080
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Entity Type | Individual
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Provider Name | DANIEL LEE MOLLOY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 1950 ARLINGTON ST STE 400
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 770-995-0533
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 ARLINGTON ST STE 400
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 770-995-0533
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 073054
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 73054
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License Number State | GA
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