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General NPI Number Information
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NPI Number | 1194092064
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Entity Type | Individual
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Provider Name | LONNIE ANDREW BARTON C.O.T.A
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Gender | Male
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 3010 N CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1182
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Country | US
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Telephone | 719-776-4888
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Fax | 719-776-4860
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Provider Business Mailing Address
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Address Line | 3010 N CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1182
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Country | US
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Telephone | 719-776-4888
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Fax | 719-776-4860
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0007501
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License Number State | CO
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