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General NPI Number Information
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NPI Number | 1114810975
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Entity Type | Individual
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Provider Name | KATHRYN MARGARET DALY COTA/L
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Gender | Female
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 2438 17TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-2528
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Country | US
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Telephone | 415-710-7292
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 DWIGHT WAY
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City | BERKELEY
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State | CA
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Zip | 94702-2120
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Country | US
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Telephone | 510-431-8114
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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 | 6675
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License Number State | CA
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