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General NPI Number Information
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NPI Number | 1114441938
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Entity Type | Individual
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Provider Name | PATRICE ANDREA ROWE COTA
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 1880 BRYANT AVE
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City | BRONX
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State | NY
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Zip | 10460-5110
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Country | US
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Telephone | 347-291-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 675 E 170TH ST APT 3D
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City | BRONX
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State | NY
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Zip | 10456-2345
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Country | US
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Telephone | 646-597-1639
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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 | 008419-1
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License Number State | NY
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