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General NPI Number Information
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NPI Number | 1477927879
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Entity Type | Individual
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Provider Name | JOSEPH SCOTT COTA
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Gender | Male
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 7990 HAWKINSMITH RD
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City | JUNCTION CITY
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State | KS
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Zip | 66441-7583
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Country | US
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Telephone | 901-614-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 7990 HAWKINSMITH RD
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City | JUNCTION CITY
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State | KS
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Zip | 66441-7583
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Country | US
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Telephone | 901-614-6727
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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 | 18-01178
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License Number State | KS
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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 | TA3046
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License Number State | MS
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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 | 213589
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License Number State | TX
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