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General NPI Number Information
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NPI Number | 1609757012
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Entity Type | Organization
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Legal Business Name | COOPERATIVE EDUCATIONAL SERVICE AGENCY NO. 9
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 304 KAPHAEM RD
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City | TOMAHAWK
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State | WI
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Zip | 54487-7800
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Country | US
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Telephone | 715-453-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 304 KAPHAEM RD
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City | TOMAHAWK
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State | WI
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Zip | 54487-7800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS OPERATIONS SPECIALIST
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Name | RYAN KOTTKE
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Credential |
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Telephone | 715-453-2141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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