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General NPI Number Information
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NPI Number | 1831670728
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Entity Type | Individual
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Provider Name | SHANILLE CLARKE DAVIS COTA, RN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 20018 SILVER MESIA CIR
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City | CYPRESS
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State | TX
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Zip | 77433-6805
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Country | US
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Telephone | 954-608-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 20018 SILVER MESIA CIR
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City | CYPRESS
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State | TX
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Zip | 77433-6805
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1116933
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 1116933
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 214385
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1116933
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 1116933
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License Number State | TX
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