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General NPI Number Information
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NPI Number | 1326912262
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Entity Type | Individual
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Provider Name | NOAH RAY SUNDELL COTA
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Gender | Male
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3707 CONVOY ST
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City | SAN DIEGO
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State | CA
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Zip | 92111-3754
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Country | US
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Telephone | 858-573-9368
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Fax |
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Provider Business Mailing Address
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Address Line | 2188 GILL VILLAGE WAY APT 813
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City | SAN DIEGO
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State | CA
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Zip | 92108-5571
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Country | US
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Telephone | 661-609-8696
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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 |
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License Number State | CA
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