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General NPI Number Information
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NPI Number | 1508818568
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Entity Type | Individual
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Provider Name | DARREL HOTMIRE DO
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 582 HARMON RD
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City | BLUFFTON
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State | OH
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Zip | 45817-1069
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Country | US
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Telephone | 419-369-4804
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Fax | 419-369-4805
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Provider Business Mailing Address
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Address Line | 226 LOCUST COURT
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City | BLUFFTON
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State | OH
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Zip | 45817-8534
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Country | US
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Telephone | 419-369-4804
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Fax | 419-369-4805
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34006384
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License Number State | OH
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