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General NPI Number Information
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NPI Number | 1801716212
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Entity Type | Individual
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Provider Name | MIA RHEA COTA
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Gender | Female
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1431 GREENWAY DR STE 500
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City | IRVING
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State | TX
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Zip | 75038-2444
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Country | US
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Telephone | 713-783-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 11702 COUNTY ROAD 2183
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City | WHITEHOUSE
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State | TX
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Zip | 75791-5731
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Country | US
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Telephone | 903-752-2018
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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 | 218848
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License Number State | TX
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