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General NPI Number Information
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NPI Number | 1770828725
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Entity Type | Individual
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Provider Name | NATASHA CARITA COTA
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 100 MONROE ST
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-5002
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Country | US
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Telephone | 908-595-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 864 WILBUR AVE
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3454
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Country | US
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Telephone | 908-619-1080
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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 | 46TA09072500
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License Number State | NJ
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