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General NPI Number Information
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NPI Number | 1588909675
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Entity Type | Individual
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Provider Name | AMY L RICHARDSON COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 22035 BURBANK BLVD APT 136
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4737
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Country | US
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Telephone | 505-446-7018
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Fax |
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Provider Business Mailing Address
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Address Line | 22035 BURBANK BLVD APT 136
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4741
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Country | US
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Telephone | 508-446-7018
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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 | 2677
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License Number State | CA
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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 | 2541
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License Number State | MA
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