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General NPI Number Information
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NPI Number | 1003595596
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Entity Type | Individual
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Provider Name | NICHOLAS DEVIN FRANKLIN COTA/L
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 7356 NEW CASTLE RD
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City | MORRIS
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State | AL
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Zip | 35116-2057
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Country | US
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Telephone | 205-514-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 7356 NEW CASTLE RD
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City | MORRIS
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State | AL
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Zip | 35116-2057
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Country | US
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Telephone |
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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 | 5325
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License Number State | AL
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