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General NPI Number Information
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NPI Number | 1487921953
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Entity Type | Individual
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Provider Name | HILDY JANE MOHLER COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 8580 WOODWAY DR
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City | HOUSTON
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State | TX
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Zip | 77063-2423
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Country | US
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Telephone | 713-781-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 6915 AUTUMN RAIN LN
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City | SPRING
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State | TX
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Zip | 77379-8463
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Country | US
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Telephone | 832-229-2724
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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 | 224ZE0001X
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Taxonomy Name | Environmental Modification Occupational Therapy Assistant
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License Number | 210450
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License Number State | TX
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