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General NPI Number Information
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NPI Number | 1427731603
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Entity Type | Individual
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Provider Name | AMBER MCDONALD COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 13574 VILLAGE PARK DR STE 250
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City | ORLANDO
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State | FL
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Zip | 32837-7696
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Country | US
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Telephone | 407-391-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 3028 FOXHILL CIR APT 202
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City | APOPKA
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State | FL
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Zip | 32703-8168
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Country | US
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Telephone | 407-619-3479
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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 | OTA18185
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License Number State | FL
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