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General NPI Number Information
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NPI Number | 1447627286
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Entity Type | Individual
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Provider Name | JANET TALAVERA GUSSOW COTA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 214 S DILLARD ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3523
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Country | US
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Telephone | 407-877-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 13519 GLYNSHEL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5001
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Country | US
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Telephone | 407-257-9218
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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 | OTA13916
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License Number State | FL
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