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General NPI Number Information
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NPI Number | 1831394162
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Entity Type | Individual
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Provider Name | MARK J. MOLINOFF LIC. AC.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 5530 MUNFORD ROAD SUITE 109
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City | RALEIGH
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State | NC
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Zip | 27612
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Country | US
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Telephone | 919-815-8115
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Fax | 866-889-6637
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Provider Business Mailing Address
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Address Line | 5530 MUNFORD ROAD SUITE 109
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City | RALEIGH
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State | NC
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Zip | 27612
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Country | US
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Telephone | 919-815-8115
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Fax | 866-889-6637
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 341
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License Number State | NC
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