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General NPI Number Information
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NPI Number | 1689289696
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Entity Type | Individual
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Provider Name | LARRY A MOTSINGER
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Gender | Male
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 873 CRESCENT DR APT 4
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City | SIDNEY
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State | OH
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Zip | 45365-3256
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Country | US
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Telephone | 937-492-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 883 S OHIO AVE
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City | SIDNEY
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State | OH
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Zip | 45365-3267
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Country | US
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Telephone | 937-638-2332
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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