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General NPI Number Information
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NPI Number | 1366633422
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Entity Type | Individual
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Provider Name | MARTIN J FEROLI COTA
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 7540 N 19TH AVE STE 200
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City | PHOENIX
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State | AZ
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Zip | 85021-7967
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Country | US
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Telephone | 781-556-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 59 ROCKLAND ST
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City | HINGHAM
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State | MA
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Zip | 02043-1007
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Country | US
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Telephone | 781-556-5181
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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 | 1689
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 3068
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License Number State | MA
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