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General NPI Number Information
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NPI Number | 1710276118
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Entity Type | Individual
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Provider Name | KARAN BROWN COTA
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 323 CAMPUS DR
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City | ARVIN
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State | CA
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Zip | 93203-1047
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Country | US
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Telephone | 661-854-4475
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Fax | 661-854-4950
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Provider Business Mailing Address
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Address Line | 1300 RIDGEVIEW ST
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City | BAKERSFIELD
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State | CA
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Zip | 93306-6240
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Country | US
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Telephone | 661-366-5196
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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 225
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License Number State | CA
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