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General NPI Number Information
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NPI Number | 1659742294
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Entity Type | Individual
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Provider Name | ROEL MOLINA FNP
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Gender | Male
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 13423 BLANCO RD # 529
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2187
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Country | US
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Telephone | 210-278-7652
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Fax | 877-353-9156
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Provider Business Mailing Address
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Address Line | 1235 COUNTY ROAD 7718
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City | DEVINE
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State | TX
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Zip | 78016-5263
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Country | US
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Telephone |
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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 | AP129223
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License Number State | TX
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