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General NPI Number Information
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NPI Number | 1689075798
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Entity Type | Individual
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Provider Name | PATRICIA ANNE MADDEN COTA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 6020 INDIANA AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3214
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Country | US
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Telephone | 727-849-7555
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Fax | 727-847-0898
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Provider Business Mailing Address
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Address Line | 6020 INDIANA AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3214
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Country | US
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Telephone | 727-849-7555
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Fax | 727-847-0898
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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 | OTA6521
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License Number State | FL
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