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General NPI Number Information
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NPI Number | 1639943293
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Entity Type | Individual
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Provider Name | KAYLA MICHELLE MORGAN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 1010 US HIGHWAY 24 AND 36 E
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City | MONROE CITY
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State | MO
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Zip | 63456-1116
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Country | US
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Telephone | 660-346-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 26071 ROUTE A
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City | HOLLIDAY
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State | MO
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Zip | 65258-2018
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Country | US
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Telephone | 660-346-1999
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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 | 2013002541
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License Number State | MO
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