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General NPI Number Information
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NPI Number | 1275095903
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Entity Type | Individual
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Provider Name | HANNAH MARIE JOHNSON COTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 779 GLENDALE MILFORD RD
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City | CINCINNATI
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State | OH
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Zip | 45215-1161
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Country | US
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Telephone | 513-771-1779
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Fax |
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Provider Business Mailing Address
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Address Line | 5131 DEPOT RD
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City | NEW TRENTON
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State | IN
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Zip | 47035-5109
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Country | US
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Telephone | 513-478-6010
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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 | OTA007437
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License Number State | OH
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