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General NPI Number Information
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NPI Number | 1407655905
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Entity Type | Individual
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Provider Name | HANNAH MARIE LESLIE COTA/L
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 5 REMINGTON CV
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City | LITTLE ROCK
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State | AR
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Zip | 72204-8274
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Country | US
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Telephone | 501-850-8788
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HIDDEN VALLEY LOOP
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City | MAUMELLE
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State | AR
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Zip | 72113-6781
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Country | US
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Telephone | 501-920-8159
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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 | OT-A2098
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License Number State | AR
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