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General NPI Number Information
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NPI Number | 1093103293
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Entity Type | Individual
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Provider Name | MARGARET JO FICHTER COTA
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Gender | Female
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | E11439 HWY 159
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City | BARABOO
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State | WI
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Zip | 53913-9217
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Country | US
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Telephone | 608-434-6999
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Fax |
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Provider Business Mailing Address
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Address Line | E11439 HWY 159
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City | BARABOO
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State | WI
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Zip | 53913-9217
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Country | US
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Telephone | 608-434-6999
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | OTA-1196
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License Number State | ID
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