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General NPI Number Information
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NPI Number | 1619416252
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Entity Type | Individual
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Provider Name | SARAH MARTINEZ COTA/L
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2595 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34684-3152
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Country | US
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Telephone | 727-953-3228
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Fax |
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Provider Business Mailing Address
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Address Line | 4951 ASBURY VIEW DR APT 104
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City | TAMPA
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State | FL
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Zip | 33619-6775
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Country | US
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Telephone | 813-570-0156
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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 | OTA18879
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License Number State | FL
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