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General NPI Number Information
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NPI Number | 1831490671
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Entity Type | Individual
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Provider Name | MOLLY FRANCES MCCOY
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 126 SW 148TH ST STE C100 PMB 275
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City | BURIEN
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State | WA
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Zip | 98166-1984
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Country | US
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Telephone | 678-997-1029
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Fax | 206-494-7435
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Provider Business Mailing Address
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Address Line | 16218 16TH AVE SW
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City | BURIEN
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State | WA
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Zip | 98166-2860
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Country | US
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Telephone | 678-997-1029
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Fax | 206-494-7435
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Authorized Official
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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