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NPI 1326755117

NPI 1326755117 : NICHOLINE ROSE COTE MS : CHULA VISTA, CA

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General NPI Number Information
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    NPI Number           |    1326755117
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLINE ROSE COTE MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2022
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    Last Update Date     |    11/01/2022
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Provider Practice Location Address
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    Address Line         |    330 OXFORD ST STE 102 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91911-3118
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    Country              |    US
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    Telephone            |    619-349-4701
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17216 SATICOY ST # 141 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91406-2103
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    Country              |    US
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    Telephone            |    818-206-3353
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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