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General NPI Number Information
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NPI Number | 1467162404
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Entity Type | Individual
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Provider Name | CHELSEA NICHOLE ERWIN-BURNS COTA
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3166 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-8015
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Country | US
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Telephone | 903-784-7702
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Fax | 903-784-7703
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Provider Business Mailing Address
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Address Line | PO BOX 797
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City | VALLIANT
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State | OK
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Zip | 74764-0797
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Country | US
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Telephone | 580-448-2021
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Fax | 580-448-0021
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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 | 215870
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License Number State | TX
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