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General NPI Number Information
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NPI Number | 1144898248
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Entity Type | Individual
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Provider Name | AMY BETH ESCAMILLA COTA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 6640 IOLA AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-7845
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Country | US
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Telephone | 806-687-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 28TH ST APT 508
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City | LUBBOCK
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State | TX
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Zip | 79407-2869
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Country | US
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Telephone | 806-777-8126
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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 |
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License Number State |
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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 | 214007
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License Number State | TX
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