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General NPI Number Information
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NPI Number | 1982799714
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Entity Type | Individual
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Provider Name | JOSE M MOLINAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 355 MAIN ST FL 2
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1062
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Country | US
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Telephone | 617-453-3005
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Fax | 617-649-8535
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Provider Business Mailing Address
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Address Line | 355 MAIN ST FL 2
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1062
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Country | US
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Telephone | 617-453-3005
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Fax | 617-649-8535
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 79365
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 79365
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License Number State | MA
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