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General NPI Number Information
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NPI Number | 1760641187
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Entity Type | Individual
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Provider Name | MOLLY BROOKS GRAY DO
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Gender | Female
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 408 N AUSTIN ST
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City | COMANCHE
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State | TX
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Zip | 76442-2408
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Country | US
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Telephone | 325-356-1135
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Fax | 325-356-1145
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Provider Business Mailing Address
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Address Line | 408 N AUSTIN ST
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City | COMANCHE
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State | TX
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Zip | 76442-2408
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Country | US
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Telephone | 325-356-1135
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Fax | 325-356-1145
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7233
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License Number State | TX
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