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General NPI Number Information
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NPI Number | 1477967453
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Entity Type | Individual
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Provider Name | MONICA LEE WEST COTA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 101 W HILLSIDE RD STE 6
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City | LAREDO
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State | TX
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Zip | 78041-3181
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Country | US
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Telephone | 956-722-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3632 109 27TH ST.
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City | ZAPATA
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State | TX
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Zip | 78076-6284
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Country | US
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Telephone | 956-500-0728
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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 | 212564
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License Number State | TX
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