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General NPI Number Information
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NPI Number | 1639602337
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Entity Type | Individual
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Provider Name | DAWN MOLINA APRN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1836
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MISTY MNR
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City | HUNTINGTON
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State | WV
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Zip | 25702-9782
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Country | US
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Telephone | 304-733-5249
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN42436
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License Number State | WV
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