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General NPI Number Information
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NPI Number | 1982352472
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Entity Type | Organization
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Legal Business Name | MOLINA HEALTHCARE OF FLORIDA
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 8300 NW 33RD STREET SUITE 300
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City | DORAL
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State | FL
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Zip | 33122
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Country | US
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Telephone | 866-422-2541
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 NW 33RD STREET SUITE 300
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City | DORAL
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State | FL
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Zip | 33122
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEALTH PLAN PRESIDENT
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Name | MICHAEL J JONES
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Credential |
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Telephone | 305-702-5213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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