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General NPI Number Information
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NPI Number | 1598996001
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Entity Type | Individual
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Provider Name | PATRICIA M HOTHORN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 100 WINNERS CIR N SUITE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-5012
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Country | US
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Telephone | 615-661-5039
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Fax | 615-376-9278
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Provider Business Mailing Address
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Address Line | 915 LAURENS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-8740
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Country | US
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Telephone | 615-661-5039
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Fax | 615-376-9278
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 11605
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW0000004414
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-008935
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License Number State | IL
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