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General NPI Number Information
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NPI Number | 1215917497
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Entity Type | Individual
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Provider Name | CATHERINE A MILLS COTA/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22 LAKE BEAUTY DR #304
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City | ORLANDO
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State | FL
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Zip | 32806-2037
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Country | US
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Telephone | 407-872-3007
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 BALDWIN DR
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City | ORLANDO
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State | FL
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Zip | 32806-1702
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Country | US
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Telephone | 407-928-3360
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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 | OTA9456
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License Number State | FL
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