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General NPI Number Information
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NPI Number | 1144502485
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE HANSON COTA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1200 N EL DORADO PL SUITE A 150
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City | TUCSON
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State | AZ
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Zip | 85715-4637
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Country | US
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Telephone | 520-298-7883
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 E GLENN ST APT. 58
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City | TUCSON
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State | AZ
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Zip | 85712-5232
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Country | US
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Telephone | 520-241-2330
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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 | 4905
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License Number State | AZ
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