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General NPI Number Information
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NPI Number | 1578948709
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Entity Type | Individual
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Provider Name | CRISTIN LOTT PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 6842 PLUM CREEK DR
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City | AMARILLO
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State | TX
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Zip | 79124-1601
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Country | US
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Telephone | 806-353-7000
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Fax | 806-353-8726
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Provider Business Mailing Address
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Address Line | 6842 PLUM CREEK DR
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City | AMARILLO
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State | TX
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Zip | 79124-1601
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Country | US
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Telephone | 806-353-7000
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Fax | 806-353-8726
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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 | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number | 91203
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number | 028956
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1127702
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License Number State |
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