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General NPI Number Information
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NPI Number | 1780293092
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Entity Type | Individual
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Provider Name | KAYLA NICOLE KRAMER COTA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 4705 S APOPKA VINELAND RD STE 4705
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City | ORLANDO
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State | FL
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Zip | 32819-3151
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Country | US
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Telephone | 407-904-9813
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Fax |
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Provider Business Mailing Address
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Address Line | 1054 AARON DR
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City | DELTONA
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State | FL
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Zip | 32725-7302
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Country | US
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Telephone | 407-454-2550
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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 | 17059
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License Number State | FL
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