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General NPI Number Information
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NPI Number | 1245553007
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Entity Type | Individual
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Provider Name | LAURA H O'NAN COTA
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Gender | Female
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 11550 N.MERIDIAN ST SUITE 312
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 800-570-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 2349 OLD MADISONVILLE RD
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City | PROVIDENCE
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State | KY
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Zip | 42450
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Country | US
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Telephone | 270-667-7989
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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 | 267426
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License Number State | KY
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