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General NPI Number Information
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NPI Number | 1811376809
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Entity Type | Individual
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Provider Name | CHELSEY MORTON COTA/L
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 101 WALNUT LN
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City | COLUMBIA
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State | TN
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Zip | 38401-4943
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Country | US
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Telephone | 931-381-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 HUDLOW CT
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City | FAIRVIEW
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State | TN
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Zip | 37062-7331
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Country | US
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Telephone | 615-812-4520
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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 |
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License Number State |
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