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General NPI Number Information
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NPI Number | 1720103575
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Entity Type | Individual
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Provider Name | TRISHA L SIMS COTAL
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 WYANT RD
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City | AKRON
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State | OH
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Zip | 44313-4228
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Country | US
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Telephone | 330-865-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 2377 W COMET RD
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City | CLINTON
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State | OH
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Zip | 44216-9005
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Country | US
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Telephone | 330-327-5716
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OTA-02885
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License Number State | OH
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