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General NPI Number Information
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NPI Number | 1225962954
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Entity Type | Individual
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Provider Name | ANASTASIA ZINK OTA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 21 E MAIN ST
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City | WAUKON
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State | IA
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Zip | 52172-1748
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Country | US
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Telephone | 563-568-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 518 BIRCH ST
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City | STODDARD
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State | WI
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Zip | 54658-9552
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Country | US
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Telephone |
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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 | 138787
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License Number State | IA
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