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General NPI Number Information
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NPI Number | 1497038103
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Entity Type | Individual
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Provider Name | ERIC O POTTER SR. ATP, COTA
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Gender | Male
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 9350 KIRBY DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77054-2528
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Country | US
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Telephone | 860-212-6825
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Fax | 877-799-1904
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Provider Business Mailing Address
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Address Line | 9350 KIRBY DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77054-2528
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Country | US
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Telephone | 860-212-6825
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Fax | 877-799-1904
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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 | 210657
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 98550
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License Number State | TX
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