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General NPI Number Information
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NPI Number | 1508678970
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Entity Type | Organization
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Legal Business Name | COTA MEDICAL CONSULTING
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 81 COMMERCE ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-2312
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Country | US
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Telephone | 860-550-2379
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Fax | 860-661-9550
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Provider Business Mailing Address
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Address Line | 42 BISHOP ST
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City | EAST HAVEN
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State | CT
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Zip | 06512-2938
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Country | US
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Telephone | 203-410-8330
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MARK A PARISI
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Credential |
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Telephone | 203-410-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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