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General NPI Number Information
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NPI Number | 1073450409
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Entity Type | Individual
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Provider Name | MEERA YANZ COTA/L
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 170 ROSE AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55117-4437
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Country | US
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Telephone | 651-350-7655
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Fax | 651-386-0013
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Provider Business Mailing Address
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Address Line | 4815 28TH AVE S APT 318
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-1357
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Country | US
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Telephone |
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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 | 201348
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License Number State | MN
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