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General NPI Number Information
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NPI Number | 1558367797
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Entity Type | Organization
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Legal Business Name | ELIZABETH H OTTMAN PSC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 2851 NEW HARTFORD RD STE B
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City | OWENSBORO
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State | KY
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Zip | 42303-1320
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Country | US
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Telephone | 270-688-6035
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Fax | 270-688-6056
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Provider Business Mailing Address
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Address Line | 2851 NEW HARTFORD RD STE B
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City | OWENSBORO
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State | KY
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Zip | 42303-1320
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Country | US
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Telephone | 270-688-6035
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Fax | 270-688-6056
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH HAWKINS OTTMAN
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Credential | M.D.
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Telephone | 270-688-6035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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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 |
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License Number State |
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