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General NPI Number Information
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NPI Number | 1770373888
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Entity Type | Individual
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Provider Name | KIRA NICOLE DANIELS COTA/L
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 18270 SISKIYOU RD # B
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1413
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Country | US
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Telephone | 760-991-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 27140 ARLA CT
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4948
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Country | US
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Telephone | 951-380-1516
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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 | 2082
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License Number State | CA
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