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General NPI Number Information
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NPI Number | 1336261619
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Entity Type | Individual
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Provider Name | TERESA DONOVAN COTA
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 WEST AVE #1411
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City | MIAMI BEACH
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State | FL
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Zip | 33139-4759
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Country | US
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Telephone | 305-778-9198
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Fax |
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Provider Business Mailing Address
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Address Line | 1570 NE 191ST ST #133
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City | MIAMI
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State | FL
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Zip | 33179-4198
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Country | US
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Telephone |
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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 | OTA643
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License Number State | FL
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