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General NPI Number Information
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NPI Number | 1720365265
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Entity Type | Individual
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Provider Name | JULIE JOHNSON COTA
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Gender | Female
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 9040 PROSPECT RD
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City | STRONGSVILLE
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State | OH
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Zip | 44149-1212
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Country | US
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Telephone | 440-665-1893
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360861
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City | STRONGSVILLE
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State | OH
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Zip | 44136-0015
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Country | US
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Telephone | 440-665-1893
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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 | 4852
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License Number State | CA
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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 | 04300
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License Number State | OH
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