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General NPI Number Information
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NPI Number | 1912132895
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Entity Type | Organization
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Legal Business Name | DR. ALLISON MOTEN, P.A.
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 12/31/2010
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Provider Practice Location Address
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Address Line | 101 NE 3RD AVE SUITE 1500
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1162
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Country | US
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Telephone | 954-600-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 101 NE 3RD AVE SUITE 1500
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1162
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Country | US
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Telephone | 954-600-6345
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PSYCHOLOGIST
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Name | ALLISON MOTEN
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Credential | PSY.D.
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Telephone | 954-600-6345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY7569
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License Number State | FL
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