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General NPI Number Information
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NPI Number | 1780176149
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Entity Type | Individual
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Provider Name | JULIE ELISE SCANDOLA COTA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 100 RED OAKS DR STE 103
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City | STAUNTON
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State | VA
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Zip | 24401-9158
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Country | US
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Telephone | 540-885-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 678 LADD RD
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2608
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Country | US
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Telephone | 703-304-5611
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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 | 0131000860
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License Number State | VA
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