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General NPI Number Information
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NPI Number | 1710138458
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Entity Type | Individual
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Provider Name | BETH ELLEN FINK COTA/L
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 1870 PISQAH RD
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City | HENDERSONVILL
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State | NC
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Zip | 28739
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Country | US
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Telephone | 828-693-9796
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Fax |
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Provider Business Mailing Address
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Address Line | 7920 NW 50TH ST APT 202
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City | LAUDERHILL
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State | FL
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Zip | 33351-5672
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Country | US
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Telephone | 954-770-1314
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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 | 6949
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License Number State | NC
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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 | OTA10125
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License Number State | FL
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