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General NPI Number Information
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NPI Number | 1568052280
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Entity Type | Individual
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Provider Name | MEGAN ALEXANDRA HAUSE COTA
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 7101 LIBRARY BLVD STE. A
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 317-215-0239
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Fax | 317-881-9966
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Provider Business Mailing Address
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Address Line | 7107 LIBRARY BOULEVARD SUITE A
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 317-215-0239
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Fax | 317-881-9966
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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 | 32002083A
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License Number State | IN
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