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General NPI Number Information
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NPI Number | 1487926234
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Entity Type | Individual
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Provider Name | RUTH A. VOGEL COTA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 251 HIGHWAY 66
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City | NEW HARMONY
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State | IN
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Zip | 47631-9075
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Country | US
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Telephone | 812-682-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 10321 DAMM RD
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City | WADESVILLE
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State | IN
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Zip | 47638-9163
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Country | US
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Telephone | 812-306-5547
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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 | 32001936A
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License Number State | IN
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