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General NPI Number Information
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NPI Number | 1477908796
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Entity Type | Individual
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Provider Name | SARAH LOREN MOLES
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Gender | Female
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1900
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City | HOUSTON
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State | TX
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Zip | 77030-2785
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Country | US
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Telephone | 713-500-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 CAMBRIDGE ST STE 6510
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City | HOUSTON
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State | TX
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Zip | 77054-2032
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Country | US
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Telephone |
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 42036
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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