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General NPI Number Information
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NPI Number | 1629265343
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Entity Type | Individual
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Provider Name | LEE KIRBY HOTZE LPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 2 MANHATTANVILLE RD
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City | PURCHASE
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State | NY
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Zip | 10577-2113
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 353
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City | MADISON
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State | AL
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Zip | 35758-0353
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC03884
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License Number State | AL
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