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General NPI Number Information
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NPI Number | 1144728460
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Entity Type | Individual
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Provider Name | ALICIA ROCHELLE HAWLEY COTA
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Gender | Female
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 101 S ORCHARD AVE
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City | VACAVILLE
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State | CA
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Zip | 95688-3635
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Country | US
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Telephone | 707-448-6459
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 LOYOLA DR
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City | DAVIS
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State | CA
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Zip | 95618-1551
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Country | US
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Telephone | 530-302-6000
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OTA3844
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License Number State | CA
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