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General NPI Number Information
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NPI Number | 1154686616
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Entity Type | Individual
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Provider Name | AUSTIN ROBERT FIECHTER COTA
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 701 HENRY ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-1095
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Country | US
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Telephone | 812-346-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 E CENTER DR
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City | BLUFFTON
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State | IN
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Zip | 46714-9249
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Country | US
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Telephone | 260-804-2079
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 32002030A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 224ZE0001X
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Taxonomy Name | Environmental Modification Occupational Therapy Assistant
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Taxonomy #4
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Taxonomy Code | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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Taxonomy #5
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Taxonomy Code | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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Taxonomy #6
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Taxonomy Code | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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License Number |
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