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General NPI Number Information
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NPI Number | 1033460993
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Entity Type | Individual
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Provider Name | JENNIFER HUNTER COTA/L
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Gender | Female
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 7270 HILBURN RD APT 37
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City | PENSACOLA
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State | FL
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Zip | 32504-6395
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Country | US
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Telephone | 850-602-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 3232 JOPLIN LN
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City | CHESAPEAKE
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State | VA
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Zip | 23323-1199
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Country | US
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Telephone | 580-602-3580
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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 | 0131002099
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License Number State | VA
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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 | OTA11818
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License Number State | FL
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