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General NPI Number Information
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NPI Number | 1326136524
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Entity Type | Individual
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Provider Name | MOLLY MCBRIDE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 800 2ND AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 302-421-4670
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Fax | 302-421-4149
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Provider Business Mailing Address
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Address Line | 1100 N GRANT AVE
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City | WILMINGTON
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State | DE
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Zip | 19805-2671
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Country | US
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Telephone | 302-421-4670
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Fax | 302-421-4149
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | C1-0005345
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License Number State | DE
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