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General NPI Number Information
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NPI Number | 1346556834
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Entity Type | Individual
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Provider Name | KAMI WHITSON COTA
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Gender | Female
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 6801 W POLY WEBB RD
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City | ARLINGTON
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State | TX
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Zip | 76016-3640
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Country | US
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Telephone | 817-563-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 804 PURDUE DR UNIT 3
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City | WAXAHACHIE
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State | TX
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Zip | 75165-4763
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Country | US
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Telephone | 214-949-6565
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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 | 210625
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License Number State | TX
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