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General NPI Number Information
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NPI Number | 1710840137
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Entity Type | Individual
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Provider Name | ITZEL PEREZ MOLINA DPT
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 822 W FRANCIS AVE
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City | SPOKANE
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State | WA
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Zip | 99205-6512
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Country | US
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Telephone | 509-385-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 407 E 2ND AVE STE 100
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City | SPOKANE
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State | WA
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Zip | 99202-1428
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Country | US
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Telephone | 509-455-6002
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Fax | 509-747-5990
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61684247
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License Number State | WA
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