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General NPI Number Information
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NPI Number | 1215230180
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Entity Type | Individual
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Provider Name | SCOTT THOMAS MOTYKA RPH
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Gender | Male
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 413 CANAL ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6619
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Country | US
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Telephone | 802-254-7777
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Fax | 802-254-8444
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Provider Business Mailing Address
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Address Line | 413 CANAL ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6619
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Country | US
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Telephone | 802-254-7777
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Fax | 802-254-8444
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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 | 3499
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License Number State | VT
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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 | R2054
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17645
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License Number State | MA
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