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General NPI Number Information
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NPI Number | 1659189819
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Entity Type | Individual
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Provider Name | RITA AGYEI-YEBOAH COTA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 900 BOOTH ST
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City | SALISBURY
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State | MD
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Zip | 21801-3006
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Country | US
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Telephone | 410-742-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 145 BOBBYS BRANCH RD
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City | MILLSBORO
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State | DE
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Zip | 19966-3755
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Country | US
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Telephone | 302-339-0805
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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 | U2-0012308
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License Number State | DE
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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 | A03258
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License Number State | MD
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