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NPI 1487172755

NPI 1487172755 : SARAH HOTT : DIXON, IL

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General NPI Number Information
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    NPI Number           |    1487172755
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH HOTT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2017
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    Last Update Date     |    09/06/2017
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Provider Practice Location Address
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    Address Line         |    325 STATE ROUTE 2 
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    City                 |    DIXON
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    State                |    IL
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    Zip                  |    61021-9118
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    Country              |    US
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    Telephone            |    815-284-6611
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2100 FREEPORT RD APT 419A 
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    City                 |    STERLING
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    State                |    IL
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    Zip                  |    61081-1734
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    178.012674
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    License Number State |    IL
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