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General NPI Number Information
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NPI Number | 1457503187
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Entity Type | Individual
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Provider Name | DANIEL MOLINA
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Gender | Male
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | CARRETERA 639 KM 6 HM0 BO SABANA HOYOS
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City | SABANA HOYOS
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State | PUERTO RICO
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Zip | 00688
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Country | UM
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Telephone | 787-650-8873
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Fax | 787-880-2046
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Provider Business Mailing Address
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Address Line | HC 01 BOX 5144
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City | SABANA HOYOS
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State | PUERTO RICO
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Zip | 00688
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Country | UM
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Telephone | 787-650-8873
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Fax | 787-880-2046
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TC AMB 552
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License Number State | PR
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