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General NPI Number Information
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NPI Number | 1598664955
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Entity Type | Individual
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Provider Name | MR. JOEL WADE COTE-KANNING
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 3111 E BROADWAY AVE
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City | BISMARCK
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State | ND
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Zip | 58501-5085
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Country | US
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Telephone | 701-751-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 28TH ST NW
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City | RUSO
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State | ND
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Zip | 58778-9407
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Country | US
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Telephone | 701-720-4716
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1605-11-1-26A
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License Number State | ND
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