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General NPI Number Information
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NPI Number | 1689467946
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Entity Type | Individual
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Provider Name | MOLLY MAUREEN KANE DMD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 29 BEE STREET MSC 507 DENTAL CLINICS ROOM 550
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City | CHARLESTON
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State | SC
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Zip | 29425-0001
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Country | US
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Telephone | 843-792-4907
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Fax |
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Provider Business Mailing Address
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Address Line | 10521 SANTA ANITA TER
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City | DAMASCUS
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State | MD
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Zip | 20872-6100
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Country | US
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Telephone | 860-287-5377
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11100
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License Number State | SC
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