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General NPI Number Information
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NPI Number | 1811787070
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Entity Type | Individual
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Provider Name | VANESSA MICHELLE PIERCE COTA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 841 W WASHINGTON ST STE 500
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City | MARQUETTE
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State | MI
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Zip | 49855-4178
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Country | US
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Telephone | 906-225-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 6TH ST W APT 4
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City | ASHLAND
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State | WI
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Zip | 54806-1346
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Country | US
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Telephone | 702-481-4928
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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 | 5750-27
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License Number State | WI
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