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General NPI Number Information
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NPI Number | 1215158589
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE ADAMS COTA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4360 BRECKSVILLE RD
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City | RICHFIELD
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State | OH
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Zip | 44286-9457
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Country | US
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Telephone | 330-659-6166
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Fax | 330-659-2944
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Provider Business Mailing Address
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Address Line | 572 LINDELL ST
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City | AKRON
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State | OH
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Zip | 44305-2810
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Country | US
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Telephone | 330-571-2705
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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 | OTA 03421
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License Number State | OH
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