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General NPI Number Information
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NPI Number | 1508884040
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Entity Type | Individual
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Provider Name | PAMELA SUSAN LOTKE MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1225 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3431
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Country | US
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Telephone | 202-347-8512
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-3431
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0080283
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 30503
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD042881
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License Number State | DC
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