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General NPI Number Information
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NPI Number | 1154931483
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Entity Type | Individual
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Provider Name | ANDREW DAVID MOTE PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/02/2020
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Last Update Date | 08/02/2020
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Provider Practice Location Address
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Address Line | 2463 HAMILTON MILL PKWY
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City | DACULA
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State | GA
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Zip | 30019-4648
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Country | US
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Telephone | 770-614-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 2472 WALNUT TREE LN
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City | BUFORD
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State | GA
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Zip | 30519-2258
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Country | US
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Telephone | 770-533-3023
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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 | RPH032183
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License Number State | GA
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