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General NPI Number Information
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NPI Number | 1497237994
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Entity Type | Individual
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Provider Name | ABU JAMES ARUNA COTA
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Gender | Male
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 800 W RANDOL MILL RD FL 6
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City | ARLINGTON
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State | TX
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Zip | 76012-2504
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Country | US
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Telephone | 682-267-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 13521 HOLTON CIR APT 12303
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City | EULESS
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State | TX
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Zip | 76040-8427
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Country | US
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Telephone | 240-393-5213
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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 | 213312
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License Number State | TX
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