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General NPI Number Information
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NPI Number | 1285139741
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Entity Type | Individual
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Provider Name | MR. JHON ERIC MOLINA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 173 W 78TH ST APT 11C
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City | NEW YORK
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State | NY
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Zip | 10024-6708
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Country | US
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Telephone | 845-558-1945
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Fax |
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Provider Business Mailing Address
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Address Line | 173 W 78TH ST APT 11C
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City | NEW YORK
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State | NY
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Zip | 10024-6708
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Country | US
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Telephone | 845-558-1945
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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