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General NPI Number Information
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NPI Number | 1336665645
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Entity Type | Individual
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Provider Name | ANDREA NICOLE WOODS COTA
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 1001 BISHOP ST STE 770
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City | HONOLULU
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State | HI
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Zip | 96813-3696
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Country | US
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Telephone | 808-521-0344
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 SARATOGA BLVD
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City | HONOLULU
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State | HI
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Zip | 96818-5029
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Country | US
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Telephone | 901-246-1718
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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 |
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