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General NPI Number Information
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NPI Number | 1184080913
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Entity Type | Individual
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Provider Name | CATHELINE MONESTIME EXUM COTA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2016
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 149 HIDDEN COURT RD
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City | HOLLYWOOD
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State | FL
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Zip | 33023-7466
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Country | US
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Telephone | 786-246-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 149 HIDDEN COURT RD
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City | HOLLYWOOD
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State | FL
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Zip | 33023-7466
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Country | US
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Telephone | 786-246-5268
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | E2XZZCKQTW
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | E2XZZCKQTW
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 213773
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA14951
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License Number State | FL
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