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General NPI Number Information
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NPI Number | 1215082912
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Entity Type | Individual
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Provider Name | KARI WALDEN COTA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 1500 WILSON LOOP
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City | WARD
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State | AR
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Zip | 72176-8656
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Country | US
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Telephone | 501-588-3211
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Fax | 501-843-2270
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Provider Business Mailing Address
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Address Line | 5532 JFK BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-6708
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Country | US
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Telephone | 501-588-3211
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Fax | 501-353-2599
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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 | O-T0652
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License Number State | AR
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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 | OT-A486
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License Number State | AR
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