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General NPI Number Information
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NPI Number | 1285190272
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Entity Type | Organization
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Legal Business Name | DR. LYNN MOTASIS
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 51 RACE TRACK RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3740
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Country | US
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Telephone | 732-970-4580
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Fax | 732-955-6664
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Provider Business Mailing Address
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Address Line | 51 RACE TRACK RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3740
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Country | US
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Telephone | 732-970-4580
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Fax | 732-955-6664
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Authorized Official
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Title or Position | OWNER
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Name | LYNN S MOTASIS
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Credential | DPM
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Telephone | 732-970-4580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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