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General NPI Number Information
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NPI Number | 1023642972
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Entity Type | Individual
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Provider Name | SHERRIE LYNN MORGAN COTA
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Gender | Female
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Dates
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Enumeration Date | 03/01/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 460 PEARL ST
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City | CADILLAC
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State | MI
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Zip | 49601-2620
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Country | US
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Telephone | 231-773-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 415 CRIPPEN ST
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City | CADILLAC
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State | MI
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Zip | 49601-1418
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Country | US
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Telephone | 231-775-4184
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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 | 5202001946
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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