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General NPI Number Information
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NPI Number | 1578187050
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Entity Type | Individual
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Provider Name | COLLEEN A GAVNER COTA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 515 CENTERPOINT DR
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City | MIDDLETOWN
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State | CT
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Zip | 06457-7570
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Country | US
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Telephone | 860-421-4052
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Fax | 860-421-4053
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Provider Business Mailing Address
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Address Line | 45 OLD KINGS RD
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City | AVON
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State | CT
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Zip | 06001-2300
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Country | US
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Telephone | 716-310-1565
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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 | 2058
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License Number State | CT
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