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General NPI Number Information
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NPI Number | 1689622755
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Entity Type | Individual
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Provider Name | LAURA ANNE HOTCHKISS MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 23610 E BROADWAY AVE
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-9641
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Country | US
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Telephone | 855-292-1401
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Fax | 866-396-8340
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Provider Business Mailing Address
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Address Line | 22100 BOTHELL EVERETT HWY
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City | BOTHELL
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State | WA
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Zip | 98021-8431
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Country | US
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Telephone | 208-413-2932
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101243452
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | TM00257
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | V4793
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD00045456
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License Number State | WA
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