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General NPI Number Information
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NPI Number | 1093453813
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Entity Type | Individual
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Provider Name | ANDREA TERESA MARTINEZ COTA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 2900 WOODRIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77087-2504
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Country | US
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Telephone | 713-741-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 SCENIC RIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77043-3404
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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 | 217331
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License Number State | TX
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