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General NPI Number Information
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NPI Number | 1659705366
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Entity Type | Individual
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Provider Name | ZELMA DE LA TORRE COTA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 4464 W 15TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-3358
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Country | US
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Telephone | 786-512-3874
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Fax | 188-859-5317
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Provider Business Mailing Address
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Address Line | 101 W 16TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-3017
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Country | US
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Telephone | 305-282-4337
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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 | OTA 12654
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License Number State | FL
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