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General NPI Number Information
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NPI Number | 1962818872
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Entity Type | Individual
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Provider Name | JOSSELYN G MOLINA AVILA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 375 AVE GENERAL VALERO STE 105
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City | FAJARDO
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State | PR
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Zip | 00738-4894
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Country | US
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Telephone | 787-566-3099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 149
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-0149
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Country | US
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Telephone | 787-649-5679
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 19945
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License Number State | PR
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