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General NPI Number Information
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NPI Number | 1821935073
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Entity Type | Individual
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Provider Name | ELIZABETH ZEMTSOV COTA/L
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 8055 FOURTH ST
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City | NAVARRE
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State | FL
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Zip | 32566-7531
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Country | US
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Telephone | 850-204-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 6388 SANDY LN
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City | MILTON
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State | FL
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Zip | 32570-6401
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Country | US
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Telephone | 850-291-0783
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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 | COTA19957
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License Number State | FL
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