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General NPI Number Information
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NPI Number | 1184130684
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Entity Type | Individual
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Provider Name | ANNA M MOTOLA ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 13395 N MARANA MAIN ST
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City | MARANA
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State | AZ
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Zip | 85653-7008
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Country | US
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Telephone | 520-682-4111
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Fax | 520-682-3817
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | MARANA
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State | AZ
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Zip | 85653-0188
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Country | US
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Telephone | 520-682-4111
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Fax | 520-682-3817
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP10783
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11041476
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License Number State | FL
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