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General NPI Number Information
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NPI Number | 1578874947
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Entity Type | Individual
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Provider Name | JENNIFER KOBITZ COTA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 501 OLD COVINGTON HWY
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City | HAMMOND
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State | LA
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Zip | 70403-5126
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Country | US
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Telephone | 985-542-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 21786 ROSEMOUND LANE
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City | SPRINGFIELD
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State | LA
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Zip | 70462
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Country | US
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Telephone | 225-294-3053
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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 | Z20334
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License Number State | LA
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