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General NPI Number Information
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NPI Number | 1639641095
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Entity Type | Individual
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Provider Name | LIZ GIOVANNA MOLINA DC
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Gender | Female
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Dates
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Enumeration Date | 12/26/2018
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 100 S SAN ANTONIO ST
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-4318
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Country | US
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Telephone | 956-317-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N BRYAN RD
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City | MISSION
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State | TX
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Zip | 78572-6201
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Country | US
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Telephone | 956-627-5040
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13469
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License Number State | TX
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