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General NPI Number Information
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NPI Number | 1124476452
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Entity Type | Individual
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Provider Name | DANA MOTON-COX PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST
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City | CHICAGO
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State | IL
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Zip | 60611-5975
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Country | US
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Telephone | 312-695-2845
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Fax |
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Provider Business Mailing Address
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Address Line | 18765 FOREST VIEW LN
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City | LANSING
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State | IL
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Zip | 60438-4513
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Country | US
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Telephone | 708-251-8166
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302037123
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051293888
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License Number State | IL
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