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General NPI Number Information
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NPI Number | 1487375168
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Entity Type | Individual
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Provider Name | JENNIFER COTT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 5420 NW 33RD AVE UNIT 6
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6348
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Country | US
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Telephone | 954-271-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N ANDREWS AVE APT 180
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-4131
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Country | US
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Telephone | 352-359-0200
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-233799
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License Number State | FL
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