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General NPI Number Information
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NPI Number | 1104709518
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Entity Type | Individual
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Provider Name | CHELSEY DANIELLE ST CLAIR COTA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 60 W FRANKLIN ST
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City | BELLBROOK
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State | OH
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Zip | 45305-1903
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Country | US
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Telephone | 513-810-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 5180 CEDAR VILLAGE DR
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City | MASON
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State | OH
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Zip | 45040-3701
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Country | US
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Telephone | 513-810-3627
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Fax | 513-854-3022
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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 | 006261
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License Number State | OH
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