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General NPI Number Information
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NPI Number | 1083529325
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Entity Type | Individual
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Provider Name | CHRISTOPHER KING COTA
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Gender | Male
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 2100 S LAKELINE BLVD
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City | CEDAR PARK
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State | TX
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Zip | 78613-3994
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Country | US
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Telephone | 512-258-5157
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 COMPASS RD
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City | GLENVIEW
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State | IL
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Zip | 60026-8001
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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 | 215997
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License Number State | TX
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