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General NPI Number Information
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NPI Number | 1013335694
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Entity Type | Individual
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Provider Name | MELINDA NASH COTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 2121 ASHLAND ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-9031
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Country | US
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Telephone | 330-479-3440
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Fax | 330-875-5368
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Provider Business Mailing Address
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Address Line | 5736 HILL RUN CIR NW
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City | MASSILLON
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State | OH
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Zip | 44646-1151
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Country | US
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Telephone | 330-844-1531
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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 |
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License Number State | OH
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