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General NPI Number Information
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NPI Number | 1417920968
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Entity Type | Individual
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Provider Name | JOSEPH D LA MOTTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 6117 MAIN ST
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City | VOORHEES
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State | NJ
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Zip | 08043-4660
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Country | US
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Telephone | 856-325-6600
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Fax | 856-673-4497
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Provider Business Mailing Address
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Address Line | 3 COOPER PLZ SUITE 502
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-963-6888
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Fax | 856-968-8499
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA56440
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License Number State | NJ
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