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1013391341 NPI number — DIANE GREGORY COTA/L

NPI Number: 1013391341
Health Care Provider/Practitioner: DIANE GREGORY COTA/L

Information about “1013391341” NPI (DIANE GREGORY COTA/L) exists in 1013391341 in HTML format HTML  |  1013391341 in plain Text format TXT  |  1013391341 in PDF (Portable Document Format) PDF  |  1013391341 in an XML format XML  formats.

NPI Number : 1013391341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013391341",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREGORY",
    "FirstName": "DIANE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "COTA/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3985 MARIETTA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORISSANT",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63033-3214",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-852-4565",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2000 BOARDWALK PLACE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "O FALLON",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63368-3900",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-292-2780",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2015",
    "LastUpdateDate": "07/19/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "2014024930",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": "057.004125",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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