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General NPI Number Information
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NPI Number | 1649737198
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Entity Type | Individual
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Provider Name | MOLLY THERESA SEARS
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 2216 HOFFMAN DR
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City | LOVELAND
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State | CO
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Zip | 80538-8053
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Country | US
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Telephone | 720-419-6486
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 392
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City | INDIAN HILLS
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State | CO
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Zip | 80454-0392
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Country | US
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Telephone | 720-419-6486
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 0000182
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License Number State | CO
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