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General NPI Number Information
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NPI Number | 1013097179
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Entity Type | Individual
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Provider Name | SARINA HOTKA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2018 FORT BRAGG RD SUITE 124
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-7037
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Country | US
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Telephone | 910-483-1474
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Fax | 910-483-2180
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Provider Business Mailing Address
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Address Line | 2142 SKYVIEW DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-5124
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Country | US
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Telephone | 910-584-2055
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Fax | 910-717-9573
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC3408
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License Number State | NC
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