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General NPI Number Information
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NPI Number | 1437556255
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Entity Type | Organization
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Legal Business Name | THE MOTIVATION ACADEMY
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 2105 MILES WOODS DR
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City | CINCINNATI
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State | OH
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Zip | 45231-2149
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Country | US
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Telephone | 513-317-4984
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53756
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City | CINCINNATI
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State | OH
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Zip | 45253-0756
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Country | US
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Telephone | 513-317-4984
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. PATRICE C. MCCARTER
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Credential |
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Telephone | 513-317-4984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C0700049
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License Number State | OH
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