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General NPI Number Information
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NPI Number | 1801698758
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Entity Type | Individual
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Provider Name | VIDHYA DINESH JAIN COTA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 28230 ORCHARD LAKE RD STE 215
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3764
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Country | US
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Telephone | 248-254-3582
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Fax | 248-671-0632
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Provider Business Mailing Address
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Address Line | 28230 ORCHARD LAKE RD STE 215
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3764
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Country | US
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Telephone | 248-254-3582
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Fax | 248-671-0632
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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