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General NPI Number Information
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NPI Number | 1235605536
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Entity Type | Individual
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Provider Name | MARY KATE ELIZABETH YOUNG COTA/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 1305 W WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-8124
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Country | US
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Telephone | 336-279-9008
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 BRANDT RIDGE DR
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City | GREENSBORO
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State | NC
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Zip | 27410-9552
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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 | 12059
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License Number State | NC
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