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General NPI Number Information
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NPI Number | 1215260633
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Entity Type | Individual
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Provider Name | HOLLY LYNN FAST COTA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 8110 S MARSHALL CT
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City | LITTLETON
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State | CO
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Zip | 80128-5861
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Country | US
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Telephone | 720-296-5522
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Fax | 303-988-0236
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Provider Business Mailing Address
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Address Line | 8110 S MARSHALL CT
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City | LITTLETON
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State | CO
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Zip | 80128-5861
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Country | US
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Telephone | 720-231-9160
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Fax | 303-933-2346
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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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