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General NPI Number Information
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NPI Number | 1114408309
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Entity Type | Individual
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Provider Name | VIRNEQUA SYKES COTA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 6710 OXON HILL RD # 480
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City | OXON HILL
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State | MD
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Zip | 20745-1117
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Country | US
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Telephone | 301-238-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 CORPORATE BLVD APT 1333
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City | ROCKVILLE
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State | MD
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Zip | 20850-3794
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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 | A02533
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License Number State | MD
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