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General NPI Number Information
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NPI Number | 1013221068
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Entity Type | Individual
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Provider Name | DEBRA ELIZABETH YOUNKER COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1695 ALLEN GLEN RD
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City | OWEGO
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State | NY
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Zip | 13827-3433
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Country | US
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Telephone | 919-637-8757
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Fax |
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Provider Business Mailing Address
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Address Line | 833 CASTLE CREEK RD
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City | CASTLE CREEK
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State | NY
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Zip | 13744-1406
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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 | 5145
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License Number State | NC
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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 | 008341
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License Number State | NY
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