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General NPI Number Information
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NPI Number | 1780636266
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Entity Type | Individual
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Provider Name | GAIL ELIZABETH MOLLERE NP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 312 KENMORE DR
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City | PENSACOLA
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State | FL
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Zip | 32503
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Country | US
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Telephone | 850-471-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 13661 PERDIDO KEY DR. UNIT 902
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City | PERDIDO KEY
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State | FL
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Zip | 32507
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Country | US
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Telephone | 850-712-2342
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 926312
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License Number State | FL
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