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General NPI Number Information
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NPI Number | 1386176287
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Entity Type | Individual
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Provider Name | VALERIE PATTERSON COTA
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Gender | Female
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 14391 METROPOLIS AVE SUITE 101
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City | FORT MYERS
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State | FL
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Zip | 33912-4423
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Country | US
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Telephone | 239-561-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 SENIOR CT
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-2037
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Country | US
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Telephone | 239-994-1092
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OTA 13470
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License Number State | FL
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