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General NPI Number Information
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NPI Number | 1255129458
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Entity Type | Individual
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Provider Name | CHRISTIANA COTTLES
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1227 N WASHINGTON AVE STE 106
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City | COOKEVILLE
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State | TN
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Zip | 38501-1845
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Country | US
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Telephone | 931-400-0725
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Fax |
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Provider Business Mailing Address
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Address Line | 368 WASHINGTON ST
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City | SPARTA
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State | TN
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Zip | 38583-5926
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Country | US
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Telephone | 931-254-0572
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 8294
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License Number State | TN
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