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General NPI Number Information
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NPI Number | 1407934854
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Entity Type | Individual
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Provider Name | MOLLIE HANNA GIOFFRE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 2129 GENERAL BOOTH BLVD STE 117
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5872
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Country | US
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Telephone | 757-509-2492
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Fax |
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Provider Business Mailing Address
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Address Line | 809 VIRGINIA AVE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4647
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Country | US
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Telephone | 757-509-2492
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411571
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License Number State | VA
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