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General NPI Number Information
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NPI Number | 1861909863
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Entity Type | Organization
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Legal Business Name | THE LOTUS CENTER INCORPORATED
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 9370 STUDIO CT STE 100E
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City | ELK GROVE
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State | CA
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Zip | 95758-8047
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Country | US
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Telephone | 916-747-2346
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Fax | 916-747-0902
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Provider Business Mailing Address
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Address Line | 9964 WINKLE CIR
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City | ELK GROVE
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State | CA
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Zip | 95757-6277
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Country | US
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Telephone | 650-455-5507
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER MARIE HALL
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Credential | MD
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Telephone | 650-455-5507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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