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General NPI Number Information
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NPI Number | 1437553773
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Entity Type | Individual
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Provider Name | LOUISE HENRIKSON COTA/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 1135 TWO OAKS BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-6004
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Country | US
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Telephone | 321-452-4459
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 TWO OAKS BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-6004
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Country | US
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Telephone |
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OTA13807
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License Number State | FL
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