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General NPI Number Information
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NPI Number | 1528349685
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Entity Type | Individual
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Provider Name | MOLLY DOMINIQUE MCDONALD DPT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 11120 NORTH FWY STE E
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City | HOUSTON
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State | TX
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Zip | 77037-1029
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Country | US
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Telephone | 281-875-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 14555 PHILIPPINE ST 1131
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City | HOUSTON
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State | TX
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Zip | 77040-7804
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Country | US
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Telephone | 832-276-7095
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3641
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License Number State | NH
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