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General NPI Number Information
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NPI Number | 1083674857
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Entity Type | Individual
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Provider Name | RAYMOND R BOTTE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 3815 E BELL RD STE 4300
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City | PHOENIX
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State | AZ
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Zip | 85032-2122
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Country | US
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Telephone | 602-569-2321
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Fax | 602-569-6220
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Provider Business Mailing Address
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Address Line | 3010 E KERRY LN
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City | PHOENIX
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State | AZ
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Zip | 85050-2501
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Country | US
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Telephone | 602-677-2688
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Fax | 201-829-4400
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 245
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 260
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License Number State | AZ
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