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General NPI Number Information
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NPI Number | 1578606539
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Entity Type | Individual
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Provider Name | JOHN MOTLEY L.AC
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 3635 PIIKEA PL
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City | MAKAWAO
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State | HI
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Zip | 96768-9553
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Country | US
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Telephone | 808-268-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 PIIKEA PL
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City | MAKAWAO
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State | HI
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Zip | 96768-9553
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Country | US
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Telephone | 808-268-0278
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00696
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU 936
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License Number State | HI
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