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General NPI Number Information
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NPI Number | 1386165223
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Entity Type | Individual
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Provider Name | TONIANNE MOTTA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 789 CENTRAL AVE
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City | DOVER
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State | NH
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Zip | 03820-2526
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Country | US
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Telephone | 37-403-3306
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412503
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City | BOSTON
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State | MA
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Zip | 02241-2503
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 341989
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 086163-23
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License Number State | NH
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