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General NPI Number Information
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NPI Number | 1265938211
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Entity Type | Individual
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Provider Name | NATALIE JO ROWAN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 4764 SANTA MONICA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92107-2209
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Country | US
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Telephone | 619-758-9424
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Fax |
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Provider Business Mailing Address
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Address Line | 6959 PARK MESA WAY UNIT 96
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City | SAN DIEGO
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State | CA
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Zip | 92111-5637
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Country | US
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Telephone | 619-261-1733
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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 | 4408
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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