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NPI Code Detail

MEDICARE: DR. ELLEN HOTT MD

MEDICARE: DR. ELLEN HOTT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician229137MA
22084P0800XPsychiatry Physician35.120283OH

General Provider Information

NPI Number : 1427048719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN HOTT MD
Provider Business Mailing Address
First Line : 1756 SAGAMORE RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-1086
Country : US
Telephone Number : 330-467-7131
Fax Number :
Provider Business Practice Location Address
First Line : 1756 SAGAMORE RD
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-1086
Country : US
Telephone Number : 330-467-7131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 01/12/2015

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