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General NPI Number Information
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NPI Number | 1457639270
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Entity Type | Individual
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Provider Name | AMY M DEMERS COTA/L
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Gender | Female
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 319 E DUNSTABLE RD
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City | NASHUA
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State | NH
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Zip | 03062-4207
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Country | US
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Telephone | 603-888-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 114 MAIN ST
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City | PELHAM
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State | NH
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Zip | 03076-5719
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Country | US
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Telephone | 603-548-1200
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2333
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 0475
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License Number State | NH
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