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General NPI Number Information
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NPI Number | 1104696103
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Entity Type | Individual
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Provider Name | PIERCE DOYLE COTA/L
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 2500 ELMS CENTER RD. APPT. 118
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406
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Country | US
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Telephone | 843-607-4854
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Fax |
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Provider Business Mailing Address
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Address Line | 677 BUCKHALL CT
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3569
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Country | US
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Telephone | 843-607-4854
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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 | OTA.5612OTA
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA.5612OTA
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License Number State | SC
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