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General NPI Number Information
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NPI Number | 1922353903
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Entity Type | Individual
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Provider Name | MARIA CRISTINA MOLCUT D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 1151 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43206-3434
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Country | US
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Telephone | 614-725-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 1868 PROMINENCE DR
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City | GROVE CITY
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State | OH
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Zip | 43123-1033
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Country | US
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Telephone | 440-590-5421
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30023752
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License Number State | OH
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