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General NPI Number Information
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NPI Number | 1275405052
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Entity Type | Individual
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Provider Name | MERLIN GABRIELLE SIMMONS COTA/L
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3320 TYLERSVILLE RD STE D
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City | HAMILTON
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State | OH
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Zip | 45011-7714
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Country | US
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Telephone | 513-283-0884
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 MAPLE AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-2117
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Country | US
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Telephone | 740-409-1806
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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 | OTA008542
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License Number State | OH
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