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General NPI Number Information
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NPI Number | 1639131667
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Entity Type | Individual
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Provider Name | DEBORAH MOTLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | AP BEUTAL STUDENT HEALTH SERVICES 1264 TAMU
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City | COLLEGE STATION
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State | TX
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Zip | 77843-1264
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Country | US
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Telephone | 979-458-8300
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Fax | 979-458-8314
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Provider Business Mailing Address
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Address Line | AP BEUTAL STUDENT HEALTH SERVICES 1264 TAMU
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City | COLLEGE STATION
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State | TX
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Zip | 77843-1264
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Country | US
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Telephone | 979-458-8300
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Fax | 979-458-8314
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 563662
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License Number State | TX
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