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General NPI Number Information
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NPI Number | 1821902156
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Entity Type | Individual
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Provider Name | LAUREN KAY ZITZOW COTA/L
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 4 N PARK ST
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City | NORTHWOOD
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State | ND
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Zip | 58267-4102
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Country | US
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Telephone | 701-587-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 530 W BEND LN
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City | ALVARADO
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State | MN
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Zip | 56710-4008
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Country | US
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Telephone | 218-242-7158
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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 | 202902
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2156
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License Number State | ND
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