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General NPI Number Information
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NPI Number | 1326829235
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Entity Type | Individual
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Provider Name | MEGHAN DIANE HATFIELD COTA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 3222 JOHN DUFFY DR
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City | JOPLIN
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State | MO
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Zip | 64804-1569
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Country | US
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Telephone | 417-621-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 13219 BETHEL RD
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City | SENECA
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State | MO
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Zip | 64865-8223
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Country | US
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Telephone | 417-499-9750
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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 | 2023010266
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2554
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License Number State | OK
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