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General NPI Number Information
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NPI Number | 1144659095
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Entity Type | Individual
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Provider Name | KATELYN R SANDERSON COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 637 E ROMIE LN
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City | SALINAS
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State | CA
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Zip | 93901-4205
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Country | US
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Telephone | 831-424-0687
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Fax | 831-424-1363
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Provider Business Mailing Address
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Address Line | 69764 HILLTOP RD
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City | UNION
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State | MI
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Zip | 49130-9711
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Country | US
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Telephone | 574-596-5296
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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 | 2679
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 32002451A
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License Number State | IN
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