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General NPI Number Information
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NPI Number | 1578591590
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Entity Type | Individual
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Provider Name | ORI M LOTAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1014 MEMORIAL DR HOSPITALIST PROGRAM
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City | DENISON
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State | TX
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Zip | 75020
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Country | US
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Telephone | 903-416-4378
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Fax | 903-416-4380
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Provider Business Mailing Address
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Address Line | 1014 MEMORIAL DR
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City | DENISON
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State | TX
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Zip | 75020-2079
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Country | US
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Telephone | 903-416-4374
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Fax | 903-416-4380
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K2743
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | K2743
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License Number State | TX
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