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General NPI Number Information
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NPI Number | 1346519758
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Entity Type | Individual
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Provider Name | LEAH NICOLE LOWRANCE COTA/L
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Gender | Female
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 615 SPRING FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-9150
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Country | US
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Telephone | 919-876-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 GREEN RD APT 104
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City | RALEIGH
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State | NC
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Zip | 27604-2814
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Country | US
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Telephone | 919-803-5792
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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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