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General NPI Number Information
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NPI Number | 1821726142
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Entity Type | Individual
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Provider Name | ALEXANDRA FRANCESCA WOLF COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 1811 GLENWOOD DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1214
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Country | US
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Telephone | 330-486-2100
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Fax | 330-425-7216
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Provider Business Mailing Address
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Address Line | 10665 KNIGHTS WAY
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-1998
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Country | US
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Telephone | 440-409-9475
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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 | OTA008274
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License Number State | OH
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