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General NPI Number Information
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NPI Number | 1760873061
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Entity Type | Individual
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Provider Name | DANIELLE GEVA COTA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 5245 N SOCRUM LOOP RD
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City | LAKELAND
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State | FL
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Zip | 33809-4253
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Country | US
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Telephone | 863-859-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 FLORAL WAY E
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City | APOPKA
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State | FL
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Zip | 32703-6610
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Country | US
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Telephone | 407-808-0571
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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 | OP009285
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License Number State | PA
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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 | OTA 14164
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License Number State | FL
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