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General NPI Number Information
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NPI Number | 1831034552
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Entity Type | Individual
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Provider Name | FAITH WOOTEN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 613 CHERRY ST
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-4229
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Country | US
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Telephone | 336-667-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 321 CIRCUIT CITY RD
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City | ELKIN
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State | NC
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Zip | 28621-8824
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Country | US
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Telephone | 336-469-7529
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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 | 14995
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License Number State | NC
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