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General NPI Number Information
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NPI Number | 1578853693
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Entity Type | Individual
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Provider Name | DAVID ROBERT MOTZ PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 2840 YOUNGSTOWN RD SE
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City | WARREN
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State | OH
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Zip | 44484-5063
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Country | US
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Telephone | 330-369-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 5294 COUNTY LINE RD
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City | WEST FARMINGTON
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State | OH
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Zip | 44491-9731
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Country | US
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Telephone | 330-984-6090
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03230330
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License Number State | OH
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