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General NPI Number Information
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NPI Number | 1477859718
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Entity Type | Individual
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Provider Name | VERONICA GARCIA NIEVES COTA/ OTR
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Gender | Female
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 610 E BELLA VISTA ST
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City | LAKELAND
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State | FL
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Zip | 33805-3008
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Country | US
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Telephone | 863-232-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 241 HAMLET RD
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City | DAVENPORT
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State | FL
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Zip | 33837-2686
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Country | US
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Telephone | 863-232-6433
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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 | OAT11578
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24173
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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