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General NPI Number Information
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NPI Number | 1831225770
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Entity Type | Individual
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Provider Name | JOAN ANN ZITZMANN COTA
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 704 LONGMIRE RD SUITE 101
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City | CONROE
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State | TX
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Zip | 77304-1850
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Country | US
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Telephone | 936-441-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 25423 FAIRBROOK LN
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City | SPRING
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State | TX
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Zip | 77373-6096
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Country | US
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Telephone | 281-353-8759
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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 | 208468
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License Number State | TX
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