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General NPI Number Information
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NPI Number | 1558549204
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Entity Type | Organization
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Legal Business Name | JANICE MOTOIKE, PH.D., P.L.L.C.
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 428 S GILBERT RD STE 109-M
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City | GILBERT
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State | AZ
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Zip | 85296-2263
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Country | US
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Telephone | 480-313-3080
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Fax | 602-396-5696
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Provider Business Mailing Address
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Address Line | 1955 W BASELINE RD STE 113-520
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City | MESA
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State | AZ
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Zip | 85202-9003
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Country | US
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Telephone | 480-313-3080
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JANICE MOTOIKE
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Credential | PHD
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Telephone | 480-313-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3701
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License Number State | AZ
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