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General NPI Number Information
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NPI Number | 1699621359
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Entity Type | Individual
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Provider Name | TONYA MARIE ERICKSON COTA/L,CSRS
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Gender | Female
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1612 N 37TH ST
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City | SUPERIOR
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State | WI
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Zip | 54880-5404
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Country | US
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Telephone | 715-392-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 5362 E NEUMAN RD
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City | SOUTH RANGE
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State | WI
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Zip | 54874-8450
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Country | US
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Telephone | 218-576-8831
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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 |
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License Number State | WI
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