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General NPI Number Information
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NPI Number | 1033959499
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Entity Type | Individual
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Provider Name | CHRISTIAN ANTHONY PARIS COTA/L
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Gender | Male
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 5154 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5708
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Country | US
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Telephone | 323-663-3951
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Fax |
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Provider Business Mailing Address
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Address Line | 819 SUNSET BLVD APT 15
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City | ARCADIA
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State | CA
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Zip | 91007-6556
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Country | US
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Telephone | 818-669-9531
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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 | 478691
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License Number State | CA
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