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General NPI Number Information
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NPI Number | 1235790924
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Entity Type | Individual
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Provider Name | ANDY CHRISTIAN FLORIAN-ESCARATE COTA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 6301 MEADOW GLEN DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2927
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Country | US
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Telephone | 254-833-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 MEADOW GLEN DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2927
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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 | 215764
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License Number State | TX
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