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General NPI Number Information
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NPI Number | 1588507610
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Entity Type | Individual
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Provider Name | ALEXIS LYNN CHRISTMAN COTA
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 4949 KIRSCHLING CT
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City | STEVENS POINT
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State | WI
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Zip | 54481-7044
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Country | US
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Telephone | 715-544-2322
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Fax |
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Provider Business Mailing Address
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Address Line | W7098 WIS-152
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City | WAUTOMA
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State | WI
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Zip | 54982
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Country | US
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Telephone | 920-420-6699
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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 | 7309-27
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License Number State | WI
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