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General NPI Number Information
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NPI Number | 1720533656
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Entity Type | Individual
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Provider Name | TIFFANY BENOIT COTA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2016
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Last Update Date | 08/21/2016
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Provider Practice Location Address
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Address Line | 149 BRENTFIELD LOOP
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City | MORRISVILLE
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State | NC
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Zip | 27560-6879
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Country | US
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Telephone | 919-525-6750
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Fax | 919-300-7993
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Provider Business Mailing Address
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Address Line | 260 HAMPSHIRE DOWNS DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-9732
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Country | US
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Telephone | 920-277-1381
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Fax | 919-300-7993
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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 | 9209
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License Number State | NC
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