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General NPI Number Information
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NPI Number | 1174098347
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Entity Type | Organization
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Legal Business Name | MOTA HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 3741 GRANDEWOOD BLVD APT 626
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City | ORLANDO
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State | FL
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Zip | 32837-7360
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Country | US
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Telephone | 407-202-3684
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Fax |
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Provider Business Mailing Address
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Address Line | 3741 GRANDEWOOD BLVD APT 626
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City | ORLANDO
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State | FL
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Zip | 32837-7360
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Country | US
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Telephone | 407-202-3684
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE M MORALES MOTA
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Credential | CNA
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Telephone | 407-202-3684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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