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General NPI Number Information
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NPI Number | 1356557987
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Entity Type | Individual
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Provider Name | PATRICIA E.B. LOTT RC, BCCC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5237 S TACOMA WAY
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City | TACOMA
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State | WA
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Zip | 98409-4318
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Country | US
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Telephone | 253-273-0682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39232
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City | LAKEWOOD
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State | WA
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Zip | 98439-0232
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Country | US
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Telephone | 253-273-0682
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | RC00042917
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License Number State | WA
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