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General NPI Number Information
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NPI Number | 1235062415
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Entity Type | Individual
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Provider Name | JOBELLE ROSE LINDE ACOSTA COTA/L
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 301 E FOOTHILL BLVD STE 100
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City | ARCADIA
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State | CA
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Zip | 91006-2551
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Country | US
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Telephone | 626-275-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 3982 DEGNAN BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90008-2616
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Country | US
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Telephone |
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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 | 7410
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License Number State | CA
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