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General NPI Number Information
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NPI Number | 1720471808
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Entity Type | Individual
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Provider Name | MOLLY MISHLER THOMASON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 707 S FRY RD STE 160
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City | KATY
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State | TX
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Zip | 77450-2257
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Country | US
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Telephone | 281-371-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 15902 CREEK HILL LN
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City | CYPRESS
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State | TX
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Zip | 77429-3475
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Country | US
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Telephone | 847-208-1183
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 37600
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License Number State | TX
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