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General NPI Number Information
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NPI Number | 1225518145
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Entity Type | Individual
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Provider Name | MELISSA GRADY COTA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 1451 ELM HILL PIKE STE 300
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City | NASHVILLE
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State | TN
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Zip | 37210-5512
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Country | US
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Telephone | 615-366-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 BUTLER RD
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City | ELKTON
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State | KY
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Zip | 42220-9729
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Country | US
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Telephone | 270-604-4377
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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 | A5840
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License Number State | KY
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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 | 2463
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License Number State | TN
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