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General NPI Number Information
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NPI Number | 1336300839
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Entity Type | Organization
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Legal Business Name | MOLINET MD PA
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 3015 S CONGRESS AVE SUITE 1
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-598-6555
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Fax | 561-598-6600
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Provider Business Mailing Address
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Address Line | PO BOX 13076
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-7076
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Country | US
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Telephone | 561-598-6555
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Fax | 561-598-6600
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Authorized Official
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Title or Position | OWNER
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Name | DR. TOMAS RODRIGUEZ MOLINET
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Credential | M.D.
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Telephone | 305-804-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME89177
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License Number State | FL
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