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General NPI Number Information
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NPI Number | 1104638840
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Entity Type | Individual
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Provider Name | CIELLE COTO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 5424 LAND O LAKES BLVD
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City | LAND O LAKES
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State | FL
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Zip | 34639-3453
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Country | US
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Telephone | 813-335-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 W SPRUCE ST UNIT 206
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City | TAMPA
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State | FL
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Zip | 33607-4257
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Country | US
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Telephone | 732-456-9177
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 25752
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License Number State | FL
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