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General NPI Number Information
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NPI Number | 1699694323
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Entity Type | Individual
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Provider Name | COLE ALAN BROCKMAN OTD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-725-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 17751 W 94TH PL UNIT 25205
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City | LENEXA
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State | KS
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Zip | 66219-2594
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Country | US
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Telephone | 913-687-8154
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 108161
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 108161
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License Number State | MN
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