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General NPI Number Information
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NPI Number | 1134534043
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Entity Type | Individual
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Provider Name | CHEE TUNG YAP COTA
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Gender | Male
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 13425 FRANKLIN AVE APT 319
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City | FLUSHING
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State | NY
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Zip | 11355-4654
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Country | US
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Telephone | 646-546-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 13425 FRANKLIN AVE APT 319
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City | FLUSHING
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State | NY
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Zip | 11355-4654
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Country | US
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Telephone | 646-546-2888
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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 | 008480
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License Number State | NY
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