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NPI 1578936159

NPI 1578936159 : DIONY PARKER COTA : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1578936159
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    Entity Type          |    Individual 
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    Provider Name        |    DIONY PARKER COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2015
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    Last Update Date     |    11/04/2015
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Provider Practice Location Address
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    Address Line         |    3501 CHENEVERT ST #24
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77004-4198
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    Country              |    US
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    Telephone            |    409-795-1940
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2800 E LEAGUE CITY PKWY APT 1209
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    City                 |    LEAGUE CITY
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    State                |    TX
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    Zip                  |    77573-1664
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    Country              |    US
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    Telephone            |    409-795-1940
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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        |    171W00000X
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    Taxonomy Name        |    Contractor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    211560
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    License Number State |    TX
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