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General NPI Number Information
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NPI Number | 1558470252
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Entity Type | Individual
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Provider Name | MOLLY DAVIS SLP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6100 GRIFFIN RD
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City | DAVIE
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State | FL
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Zip | 33314-4416
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Country | US
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Telephone | 954-262-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 861 NW 85TH TER #1807
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City | PLANTATION
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State | FL
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Zip | 33324-1247
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Country | US
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Telephone | 954-916-3508
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 7687
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 8374
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License Number State | OH
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