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General NPI Number Information
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NPI Number | 1750940813
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Entity Type | Individual
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Provider Name | JAQUELINE FERRER COTA/L
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1594 TOWNSEND AVE
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City | BRONX
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State | NY
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Zip | 10452-5904
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Country | US
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Telephone | 718-299-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 141 E PIERREPONT AVE
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City | RUTHERFORD
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State | NJ
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Zip | 07070-2417
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Country | US
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Telephone | 201-362-0462
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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 | 09584-1
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License Number State | NY
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