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General NPI Number Information
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NPI Number | 1730930249
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Entity Type | Individual
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Provider Name | BAILEY HESTER COTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 1210 EASTERN AVE
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City | NASHVILLE
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State | NC
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Zip | 27856-1817
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Country | US
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Telephone | 252-462-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 1095 MILL INN RD
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City | WILLIAMSTON
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State | NC
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Zip | 27892-8019
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Country | US
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Telephone | 252-661-0870
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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 | 16682
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License Number State | NC
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