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General NPI Number Information
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NPI Number | 1295274728
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Entity Type | Individual
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Provider Name | JANEY LYONS COTA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2564 FOX POINTE DR
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City | COLUMBUS
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State | IN
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Zip | 47203-3181
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Country | US
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Telephone | 812-375-8869
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Fax |
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Provider Business Mailing Address
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Address Line | 2564 FOXPOINTE DRIVE KEEPSAKE VILLAGE
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City | COLUMBUS
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State | IN
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Zip | 47203-3182
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Country | US
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Telephone | 812-375-8869
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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 | 32000046A
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License Number State | IN
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