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General NPI Number Information
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NPI Number | 1033638416
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Entity Type | Individual
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Provider Name | KATHLEEN MICHELE HOADLEY COTA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2017
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Last Update Date | 09/16/2017
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Provider Practice Location Address
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Address Line | 5301 E HURON RIVER DR
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City | YPSILANTI
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State | MI
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Zip | 48197-1051
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Country | US
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Telephone | 734-712-6775
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Fax |
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Provider Business Mailing Address
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Address Line | 1864 COLONIAL VILLAGE WAY APT 3
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City | WATERFORD
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State | MI
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Zip | 48328-1954
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Country | US
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Telephone | 248-882-5877
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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 | 5202008298
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License Number State | MI
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