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NPI 1154067692

NPI 1154067692 : EMILY DAWN COX COTA/L : BARBOURSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1154067692
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY DAWN COX COTA/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2022
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    56 REGAL OAKS 
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    City                 |    BARBOURSVILLE
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    State                |    WV
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    Zip                  |    25504-9639
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    Country              |    US
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    Telephone            |    304-638-3767
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 55 
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    City                 |    MC DERMOTT
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    State                |    OH
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    Zip                  |    45652-0055
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    Country              |    US
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    Telephone            |    740-727-3643
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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       |    OTA007492
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    License Number State |    OH
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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       |    C2302
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    License Number State |    WV
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