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General NPI Number Information
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NPI Number | 1568603678
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Entity Type | Individual
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Provider Name | SHARON A COAD COTA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 06/07/2013
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Provider Practice Location Address
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Address Line | 1840 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-1305
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Country | US
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Telephone | 410-644-6936
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-1305
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Country | US
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Telephone | 410-644-6936
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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 | 995501
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License Number State | OR
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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 | 18-00242
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 231029
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License Number State | MD
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