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General NPI Number Information
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NPI Number | 1962927749
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Entity Type | Individual
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Provider Name | ANDREA PAIGE COTTER LLMSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 301 S CRAPO ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-2941
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Country | US
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Telephone | 989-775-7701
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Fax |
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Provider Business Mailing Address
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Address Line | 317 E 7TH ST
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City | CLARE
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State | MI
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Zip | 48617-1305
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Country | US
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Telephone | 989-560-7505
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6801100992
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License Number State | MI
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