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General NPI Number Information
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NPI Number | 1467930636
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Entity Type | Individual
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Provider Name | DARRYL LYNN YUSKO COTA/L
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Gender | Male
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 212 CAPITOL HILL RD
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City | DILLSBURG
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State | PA
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Zip | 17019-9742
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Country | US
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Telephone | 717-814-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 212 CAPITOL HILL RD
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City | DILLSBURG
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State | PA
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Zip | 17019-9742
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Country | US
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Telephone | 717-814-1973
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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 | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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License Number | OTA-001975L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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License Number | OTA001975L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA001975L
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License Number State | PA
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