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General NPI Number Information
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NPI Number | 1447969175
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Entity Type | Individual
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Provider Name | MARINA GEORGE COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 2329 S FRANKLIN ST
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City | DENVER
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State | CO
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Zip | 80210-5105
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Country | US
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Telephone | 719-213-0603
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Fax |
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Provider Business Mailing Address
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Address Line | 22045 HILL GAIL WAY
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City | PARKER
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State | CO
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Zip | 80138-8363
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Country | US
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Telephone | 303-359-0725
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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 | OTA.0001465
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License Number State | CO
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