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General NPI Number Information
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NPI Number | 1073530689
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Entity Type | Individual
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Provider Name | JENNIFER L MOTLEY MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 6743 I 30 WEST, STE 203
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City | ROYSE CITY
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State | TX
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Zip | 75189-3900
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Country | US
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Telephone | 469-707-6190
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Fax | 469-707-6149
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Provider Business Mailing Address
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Address Line | 501 AIR PARK AVE
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City | GREENVILLE
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State | TX
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Zip | 75402-3000
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Country | US
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Telephone | 903-408-5834
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Fax | 903-408-5693
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L7491
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | TL6447
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License Number State | WY
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