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Individual
DR. DAVID RUSSELL MOTE
Active
Individual
DR. DAVID RUSSELL MOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22533
BLUE CROSS BLUE SHIELD
FL
05
—
380849100
—
FL
01
—
603595500
OWCP
FL
Enumeration date
02/13/2006
Last updated
10/02/2008
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