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General NPI Number Information
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NPI Number | 1588266894
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Entity Type | Individual
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Provider Name | ALISON MARIE KOTOWSKI MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 19389 N 59TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-6500
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Country | US
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Telephone | 623-572-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 7523 W ALEXANDRIA WAY
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City | PEORIA
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State | AZ
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Zip | 85381-8549
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5016
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License Number State | AZ
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