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NPI 1417535014

NPI 1417535014 : TENI ORUJYAN COTA : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1417535014
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    Entity Type          |    Individual 
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    Provider Name        |    TENI ORUJYAN COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2021
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    Last Update Date     |    04/01/2021
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Provider Practice Location Address
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    Address Line         |    10475 WILSHIRE BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024-4689
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    Country              |    US
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    Telephone            |    626-297-9819
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6902 DAY ST 
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    City                 |    TUJUNGA
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    State                |    CA
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    Zip                  |    91042-2045
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    Country              |    US
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    Telephone            |    626-297-9819
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    5178
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    License Number State |    CA
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