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General NPI Number Information
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NPI Number | 1609070432
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Entity Type | Individual
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Provider Name | MARIA A. MOLINARI SUCH M.D
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | B7 CALLE SANTA CRUZ
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City | BAYAMON
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State | PR
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Zip | 00961-6902
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Country | US
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Telephone | 787-781-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 522A CALLE TINTILLO TINTILLO HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-1667
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Country | US
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Telephone | 787-781-3712
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 14582
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License Number State | PR
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