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NPI 1407164049

NPI 1407164049 : CHERIE LYN SAUERS COTA : HUTCHINSON, KS

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General NPI Number Information
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    NPI Number           |    1407164049
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    Entity Type          |    Individual 
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    Provider Name        |    CHERIE LYN SAUERS COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2010
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    Last Update Date     |    09/16/2010
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Provider Practice Location Address
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    Address Line         |    2416 BRENTWOOD ST 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67502-5000
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    Country              |    US
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    Telephone            |    620-728-0347
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    210 S. COLORADO PO BOX 282
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    City                 |    KANOPOLIS
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    State                |    KS
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    Zip                  |    67454
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    Country              |    US
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    Telephone            |    314-604-8903
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    Fax                  |    785-472-5365
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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       |    18-00201
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    License Number State |    KS
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