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General NPI Number Information
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NPI Number | 1467691584
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Entity Type | Individual
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Provider Name | JILL ANN FORD COTA
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Gender | Female
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 16051 S LA GRANGE RD
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City | ORLAND PARK
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State | IL
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Zip | 60467-5605
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Country | US
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Telephone | 708-226-3090
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Fax | 170-822-6300
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Provider Business Mailing Address
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Address Line | 16051 S LA GRANGE RD
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City | ORLAND PARK
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State | IL
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Zip | 60467-5605
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Country | US
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Telephone | 708-226-3090
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Fax | 170-822-6300
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 057.001858
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License Number State | IL
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