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General NPI Number Information
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NPI Number | 1417104365
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Entity Type | Organization
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Legal Business Name | DR. DOROTHY L. HITCHMOTH, PLLC
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 255 NEWPORT RD
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City | NEW LONDON
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State | NH
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Zip | 03257-5466
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Country | US
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Telephone | 603-583-4211
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Fax | 866-752-6802
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Provider Business Mailing Address
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Address Line | PO BOX 302
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City | NEW LONDON
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State | NH
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Zip | 03257-0302
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Country | US
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Telephone | 603-583-4211
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Fax |
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Authorized Official
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Title or Position | CEO AND OWNER
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Name | DR. DOROTHY L HITCHMOTH
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Credential | OD
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Telephone | 603-583-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0652
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License Number State | NH
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