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General NPI Number Information
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NPI Number | 1780879882
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Entity Type | Individual
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Provider Name | DABNEY JANE STELL COTA
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 111 MEGAN DR.
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City | MONTICELLO
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State | AR
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Zip | 71655
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Country | US
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Telephone | 870-308-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MEGAN DR.
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City | MONTICELLO
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State | AR
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Zip | 71655
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Country | US
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Telephone | 870-308-0049
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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 | OT0756
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License Number State | AR
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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 | COTA502
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License Number State | AR
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