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General NPI Number Information
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NPI Number | 1598071920
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Entity Type | Individual
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Provider Name | MIREIDA SANCHEZ COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 6347 VIA DE SONRISA DEL SUR ASSISTED LIVING FACILITY #AL8172
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City | BOCA RATON
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State | FL
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Zip | 33433-8206
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Country | US
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Telephone | 561-391-7700
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Fax | 561-391-7700
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Provider Business Mailing Address
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Address Line | 6347 VIA DE SONRISA DEL SUR ASSISTED LIVING FACILITY #AL8172
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City | BOCA RATON
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State | FL
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Zip | 33433-8206
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Country | US
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Telephone | 561-391-7700
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Fax | 561-391-7700
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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 | 10660
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License Number State | FL
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