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General NPI Number Information
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NPI Number | 1750828786
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Entity Type | Individual
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Provider Name | CASSIA MCDOWELL COTA/L
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Gender | Female
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Dates
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Enumeration Date | 01/29/2017
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3720 CHURCH ROCK ST
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City | GALLUP
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State | NM
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Zip | 87301-4572
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Country | US
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Telephone | 505-722-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 4249 SHANNA ST
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City | GRAND ISLAND
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State | NE
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Zip | 68803-2903
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Country | US
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Telephone | 308-850-1510
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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 | 948
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License Number State | NE
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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 | 1114
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OT-2026-0003
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License Number State | NM
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