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General NPI Number Information
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NPI Number | 1639892227
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Entity Type | Individual
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Provider Name | NANCY CASSIDY COTA/L
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1201 PIPER BLVD STE 6
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City | NAPLES
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State | FL
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Zip | 34110-1381
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Country | US
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Telephone | 239-422-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 TORRENTE AVE UNIT 2205
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City | NAPLES
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State | FL
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Zip | 34112-7609
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Country | US
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Telephone | 586-250-8575
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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 | 19070
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5873
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License Number State | FL
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