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NPI 1326289448

NPI 1326289448 : SANDRA L MALGIERI COTA : NORTH CANTON, OH

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General NPI Number Information
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    NPI Number           |    1326289448
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA L MALGIERI COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2009
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    Last Update Date     |    03/19/2009
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Provider Practice Location Address
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    Address Line         |    7235 WHIPPLE AVE NW 
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    City                 |    NORTH CANTON
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    State                |    OH
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    Zip                  |    44720-7137
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    Country              |    US
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    Telephone            |    330-418-9313
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6791 SARANAC DR 
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    City                 |    TRANSFER
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    State                |    PA
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    Zip                  |    16154-8959
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    Country              |    US
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    Telephone            |    724-456-4837
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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       |    OP003464L
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    License Number State |    PA
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