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General NPI Number Information
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NPI Number | 1427695147
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Entity Type | Individual
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Provider Name | KRISTI WRIGHT COTA
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Gender | Female
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Dates
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Enumeration Date | 12/01/2019
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Last Update Date | 12/01/2019
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Provider Practice Location Address
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Address Line | 321 W 5TH ST
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-2849
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Country | US
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Telephone | 330-385-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 747 LANG ST
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-1224
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Country | US
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Telephone | 330-303-0940
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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License Number | 05674
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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