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General NPI Number Information
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NPI Number | 1588308316
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL MOLISANI DDS
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Gender | Male
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 1316 SOMERVILLE RD SE STE 2
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City | DECATUR
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State | AL
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Zip | 35601-4309
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Country | US
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Telephone | 256-350-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 2173 HIGHLAND AVE S APT H412
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4048
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Country | US
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Telephone | 585-797-9740
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-0007013-C1
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License Number State | AL
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