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General NPI Number Information
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NPI Number | 1548547243
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Entity Type | Individual
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Provider Name | ADOLFO COTTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 330 E LIBERTY ST LOWR LEVEL
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City | ANN ARBOR
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State | MI
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Zip | 48104-2274
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Country | US
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Telephone | 734-780-6029
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Fax | 416-800-8762
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Provider Business Mailing Address
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Address Line | 330 EAST LIBERTY LOWER LEVEL
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City | ANN ARBOR
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State | MI
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Zip | 48104-1187
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Country | US
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Telephone | 734-780-6029
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Fax | 416-800-8762
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01070384A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301098929
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License Number State | MI
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