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General NPI Number Information
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NPI Number | 1104432483
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Entity Type | Individual
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Provider Name | AMBER ROBINSON COTA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 20329 N 59TH AVE STE A2
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City | GLENDALE
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State | AZ
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Zip | 85308-6854
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Country | US
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Telephone | 480-787-5387
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Fax |
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Provider Business Mailing Address
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Address Line | 31113 N NORTH VALLEY PKWY APT 2002
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City | PHOENIX
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State | AZ
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Zip | 85085
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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 |
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License Number State |
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