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General NPI Number Information
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NPI Number | 1659424158
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Entity Type | Individual
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Provider Name | CARMEN LUISA MOLINA ACUPUNCTURE PHYSIAN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 716 SW 96TH CT SAME
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City | MIAMI
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State | FL
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Zip | 33174-2126
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Country | US
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Telephone | 305-228-4487
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Fax |
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Provider Business Mailing Address
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Address Line | 716 S.W .96 CT.
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City | MIAMI
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State | FL
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Zip | 33174-2126
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Country | US
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Telephone | 305-228-4487
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | A.P.2028
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License Number State | FL
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