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General NPI Number Information
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NPI Number | 1427119015
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Entity Type | Individual
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Provider Name | MANOLO MOLINA B.S., PT
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9555 N KENDALL DR SUITE 102
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City | MIAMI
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State | FL
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Zip | 33176-1978
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Country | US
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Telephone | 305-596-5458
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Fax | 789-924-6336
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Provider Business Mailing Address
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Address Line | 1716 SW 13TH ST
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City | MIAMI
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State | FL
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Zip | 33145-1402
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Country | US
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Telephone | 305-860-5854
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT 18856
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License Number State | FL
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