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NPI 1427048719

NPI 1427048719 : ELLEN HOTT MD : NORTHFIELD, OH

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General NPI Number Information
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    NPI Number           |    1427048719
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    Entity Type          |    Individual 
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    Provider Name        |    ELLEN HOTT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/27/2005
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    Last Update Date     |    01/12/2015
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Provider Practice Location Address
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    Address Line         |    1756 SAGAMORE RD 
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    City                 |    NORTHFIELD
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    State                |    OH
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    Zip                  |    44067-1086
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    Country              |    US
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    Telephone            |    330-467-7131
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1756 SAGAMORE RD 
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    City                 |    NORTHFIELD
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    State                |    OH
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    Zip                  |    44067-1086
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    Country              |    US
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    Telephone            |    330-467-7131
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    229137
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    35.120283
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    License Number State |    OH
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