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General NPI Number Information
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NPI Number | 1548218076
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Entity Type | Individual
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Provider Name | LEONARDO MOLINA-MILLET MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | CALLE CARAZO #44 SUITE 2A
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-790-4176
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Fax | 787-490-4176
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | CAROLINA
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State | PR
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Zip | 00986-1109
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Country | US
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Telephone | 787-790-4176
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Fax | 787-790-4176
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13062
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License Number State | PR
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