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General NPI Number Information
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NPI Number | 1689974370
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Entity Type | Individual
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Provider Name | MARY J MOLINI LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1338 S SCHOOL ST STE A
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City | LODI
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State | CA
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Zip | 95240-5700
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Country | US
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Telephone | 209-327-9224
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Fax | 209-263-7065
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Provider Business Mailing Address
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Address Line | 509 SANTEE CT
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City | LODI
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State | CA
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Zip | 95242-2038
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Country | US
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Telephone | 209-327-9224
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Fax | 209-367-8563
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT
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License Number State | CA
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