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General NPI Number Information
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NPI Number | 1205039930
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Entity Type | Organization
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Legal Business Name | MARY ANN COTTEN AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 1408 8TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5105
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Country | US
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Telephone | 575-439-1550
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Fax | 575-439-1552
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Provider Business Mailing Address
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Address Line | 1408 8TH ST
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5105
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Country | US
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Telephone | 575-439-1550
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Fax | 575-439-1552
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY ANN COTTEN
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Credential | PH.D.
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Telephone | 575-439-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 0791
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License Number State | NM
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