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General NPI Number Information
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NPI Number | 1831741685
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Entity Type | Individual
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Provider Name | TIFFANEY E SALERNO COTA/L
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1321 S PRAIRIE AVE
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City | PUEBLO
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State | CO
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Zip | 81005-2307
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Country | US
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Telephone | 719-597-0822
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Fax | 719-523-7729
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Provider Business Mailing Address
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Address Line | 1321 S PRAIRIE AVE
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City | PUEBLO
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State | CO
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Zip | 81005-2307
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Country | US
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Telephone | 719-597-0822
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Fax | 719-523-7729
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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 |
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License Number State |
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