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General NPI Number Information
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NPI Number | 1124508643
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Entity Type | Individual
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Provider Name | MONICA GARZA COTA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 1001 CENTRAL BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7533
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Country | US
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Telephone | 956-541-0917
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Fax |
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Provider Business Mailing Address
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Address Line | 26048 MEREDITH ST
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City | LA FERIA
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State | TX
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Zip | 78559-4462
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Country | US
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Telephone | 361-658-8736
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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 | 210811
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License Number State | TX
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