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General NPI Number Information
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NPI Number | 1811282064
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Entity Type | Individual
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Provider Name | CONNISHA SANDERS COTA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 8309, BRIDGEWAY CIR APT 3A
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City | FORT WAYNE
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State | IN
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Zip | 46816
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Country | US
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Telephone | 260-715-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 VERNON ST
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City | WABASH
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State | IN
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Zip | 46992-4026
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Country | US
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Telephone |
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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 | 32002009A
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License Number State | IN
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