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General NPI Number Information
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NPI Number | 1194092387
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Entity Type | Individual
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Provider Name | ERIN JEANNE MURPHY COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | N4901 DAM RD
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City | DELAVAN
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State | WI
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Zip | 53115-2927
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Country | US
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Telephone | 413-446-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 7977 WINDMILL WAY
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City | DELAVAN
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State | WI
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Zip | 53115-3393
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Country | US
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Telephone | 413-446-8218
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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 | 4732-27
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License Number State | WI
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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 | 2787
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 057.002650
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License Number State | IL
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