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NPI 1508654286

NPI 1508654286 : ANAI CABRERA COTA : LYFORD, TX

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General NPI Number Information
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    NPI Number           |    1508654286
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    Entity Type          |    Individual 
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    Provider Name        |    ANAI CABRERA COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/30/2025
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    13248 MULBERRY RD 
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    City                 |    LYFORD
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    State                |    TX
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    Zip                  |    78569-2468
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    Country              |    US
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    Telephone            |    956-640-0306
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13248 MULBERRY RD 
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    City                 |    LYFORD
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    State                |    TX
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    Zip                  |    78569-2468
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    Country              |    US
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    Telephone            |    956-640-0306
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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       |    216640
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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