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General NPI Number Information
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NPI Number | 1194924027
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Entity Type | Individual
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Provider Name | KATHRYN NICOLE BELLAMY COTA/L
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 1196 1ST STREET EXT
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City | NASHVILLE
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State | NC
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Zip | 27856-9239
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Country | US
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Telephone | 252-903-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 1196 1ST STREET EXT
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City | NASHVILLE
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State | NC
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Zip | 27856-9239
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Country | US
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Telephone | 252-903-5760
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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 | 4268
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License Number State | NC
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