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General NPI Number Information
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NPI Number | 1861319402
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Entity Type | Individual
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Provider Name | WILLIAM FREDERIC MOTZEL ALMFT
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Gender | Male
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 3036 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3539
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Country | US
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Telephone | 773-270-1703
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 N HOYNE AVE APT 2F
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City | CHICAGO
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State | IL
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Zip | 60618-9254
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Country | US
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Telephone | 407-443-9035
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208.011677
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License Number State | IL
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