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General NPI Number Information
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NPI Number | 1861776429
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Entity Type | Organization
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Legal Business Name | KIMBERLY MOLNAR MFT LTD
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 7495 W AZURE DR STE 218
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City | LAS VEGAS
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State | NV
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Zip | 89130-4417
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Country | US
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Telephone | 702-515-4015
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Fax | 702-202-6798
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Provider Business Mailing Address
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Address Line | 7495 W AZURE DR STE 218
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City | LAS VEGAS
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State | NV
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Zip | 89130-4417
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Country | US
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Telephone | 702-515-4015
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Fax | 702-202-6798
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Authorized Official
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Title or Position | OWNER
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Name | KIM MOLNAR
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Credential | MFT LADC
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Telephone | 702-515-4015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0784
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License Number State | NV
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