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General NPI Number Information
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NPI Number | 1992325237
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Entity Type | Individual
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Provider Name | RHONDA COTTRELL
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 527 COBB ST
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City | CADILLAC
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State | MI
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Zip | 49601-2540
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Country | US
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Telephone | 231-775-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 22183 14 MILE RD
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City | BIG RAPIDS
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State | MI
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Zip | 49307-9238
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Country | US
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Telephone | 231-679-2673
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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