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General NPI Number Information
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NPI Number | 1497245534
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Entity Type | Individual
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Provider Name | KATIE JO COTTA FNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 905 N GULF BLVD
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City | FREEPORT
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State | TX
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Zip | 77541-3907
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Country | US
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Telephone | 281-824-1480
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Fax | 281-220-6407
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Provider Business Mailing Address
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Address Line | PO BOX 650859, DEPT. 710
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City | DALLAS
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State | TX
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Zip | 75265-0859
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Country | US
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Telephone | 409-772-2222
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP133803
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133803
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License Number State | TX
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