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General NPI Number Information
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NPI Number | 1457567810
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Entity Type | Individual
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Provider Name | DANIEL LOPEZ MOLINA N.P.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1401 SPANOS CT SUITE 230
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City | MODESTO
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State | CA
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Zip | 95355-2816
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Country | US
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Telephone | 209-521-9661
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Fax | 209-521-9307
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Provider Business Mailing Address
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Address Line | 275 N EL CIELO RD STE D-420
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6972
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Country | US
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Telephone | 760-969-6536
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Fax | 760-969-7239
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 14432
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License Number State | CA
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