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General NPI Number Information
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NPI Number | 1265970842
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Entity Type | Individual
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Provider Name | MELINA ALEXANDER CATO COTA/L
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 1900 GLEN COVE COURT
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 904-434-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GLEN COVE CT
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City | PLANO
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State | TX
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Zip | 75075-8523
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Country | US
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Telephone | 904-434-2665
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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 | 214367
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 11814
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License Number State | FL
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