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General NPI Number Information
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NPI Number | 1114212206
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Entity Type | Individual
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Provider Name | GAROLD EDWARD MOTES JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 110 MEMORIAL HOSPITAL DR
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4940
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Country | US
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Telephone | 936-304-1700
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Fax | 936-304-1701
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Provider Business Mailing Address
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Address Line | PO BOX 4001
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City | HUNTSVILLE
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State | TX
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Zip | 77342-4001
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Country | US
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Telephone | 936-291-4547
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Fax | 936-291-4373
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | S3026
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License Number State | TX
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