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General NPI Number Information
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NPI Number | 1740927359
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Entity Type | Individual
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Provider Name | MOLLY RIDDLE
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Gender | Female
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1700 S ASSEMBLY RD STE 300
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City | SPOKANE
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State | WA
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Zip | 99224-2116
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Country | US
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Telephone | 509-892-9241
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Fax | 509-892-9251
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Provider Business Mailing Address
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Address Line | 44065 AIRPORT VIEW DR
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City | HOLLYWOOD
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State | MD
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Zip | 20636-3115
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Country | US
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Telephone | 240-496-3461
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33070
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License Number State | MD
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