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General NPI Number Information
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NPI Number | 1508577883
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Entity Type | Individual
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Provider Name | CAITLIN ANN JONES COTA/L
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Gender | Female
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 2680 S MEBANE ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5695
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Country | US
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Telephone | 336-585-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 602 WESTRIDGE DR
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City | BURLINGTON
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State | NC
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Zip | 27215-8113
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Country | US
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Telephone | 336-269-0531
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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 | 11990
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License Number State | NC
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