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General NPI Number Information
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NPI Number | 1932628278
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Entity Type | Individual
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Provider Name | MOLIN KADIRIRE
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Gender | Female
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 2351 W NORTHWEST HWY # 3237
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City | DALLAS
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State | TX
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Zip | 75220-4433
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Country | US
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Telephone | 469-345-9551
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Fax |
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Provider Business Mailing Address
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Address Line | 5580 LYNDON B JOHNSON FWY STE 300
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City | DALLAS
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State | TX
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Zip | 75240-2654
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Country | US
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Telephone | 214-535-5614
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State | TX
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