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General NPI Number Information
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NPI Number | 1275723686
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Entity Type | Individual
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Provider Name | KIMBERLY ANN NEGUS COTA/MUSIC THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2711 PLEASANT ST STE H1
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4520
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Country | US
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Telephone | 715-225-5921
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Fax | 715-225-5921
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Provider Business Mailing Address
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Address Line | 2711 PLEASANT ST STE H1
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4520
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Country | US
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Telephone | 715-225-5921
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Fax | 715-225-5921
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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 | 1617027
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 28-038
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License Number State | WI
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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 | 201093
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License Number State | MN
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