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General NPI Number Information
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NPI Number | 1518240795
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Entity Type | Individual
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Provider Name | MOLLIE MARIE JOSEPH MS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 1801 LATTA RD
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City | ROCHESTER
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State | NY
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Zip | 14612-3721
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Country | US
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Telephone | 585-966-3738
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | NORTH GREECE
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State | NY
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Zip | 14515-0300
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Country | US
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Telephone | 585-966-3738
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001961-1
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License Number State | NY
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