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General NPI Number Information
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NPI Number | 1417773052
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Entity Type | Individual
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Provider Name | SAVANAH MASSINGILL MOLINAR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 3809 VETERANS BLVD.
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City | DEL RIO
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State | TX
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Zip | 78840
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Country | US
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Telephone | 830-488-6961
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Fax | 866-714-1737
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Provider Business Mailing Address
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Address Line | 240 POMPEY STREET U0224
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City | BRACKETTVILLE
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State | TX
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Zip | 78832-0224
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Country | US
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Telephone | 830-488-6961
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Fax | 866-714-1737
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 973299
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License Number State | TX
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