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General NPI Number Information
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NPI Number | 1851218192
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Entity Type | Individual
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Provider Name | KIRSTEN M COTTER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 228 BUCHER DR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3400
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Country | US
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Telephone | 870-425-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 165 CONFEDERATE CIR
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-5766
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Country | US
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Telephone | 870-404-3980
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 238261
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License Number State | AR
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