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General NPI Number Information
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NPI Number | 1497313324
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Entity Type | Individual
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Provider Name | REGINALD ONEAL ALLEN COTA
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Gender | Male
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 04/13/2025
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Provider Practice Location Address
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Address Line | 17103 CLAY RD APT 1404
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City | HOUSTON
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State | TX
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Zip | 77084-4125
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Country | US
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Telephone | 972-900-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 18518 SEATON DR
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City | KATY
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State | TX
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Zip | 77449-8478
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Country | US
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Telephone | 832-853-5006
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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 | 215114
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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