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General NPI Number Information
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NPI Number | 1700368297
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Entity Type | Individual
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Provider Name | HASAYALI MEJIA COTA
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 4920 N EXPRESSWAY 77, SUITE C
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City | BROWNSVILLE
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State | TX
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Zip | 78526
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Country | US
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Telephone | 965-350-6696
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Fax | 956-350-6604
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Provider Business Mailing Address
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Address Line | 1900 S JACKSON RD STE 2
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City | MCALLEN
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State | TX
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Zip | 78503-1589
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Country | US
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Telephone | 956-630-4400
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Fax | 965-630-4447
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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 | 214785
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License Number State | TX
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