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General NPI Number Information
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NPI Number | 1841956174
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Entity Type | Individual
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Provider Name | RACHEL QUINKERT COTAL
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Gender | Female
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 4967 CROOKS RD STE 150
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City | TROY
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State | MI
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Zip | 48098-5802
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Country | US
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Telephone | 248-509-9700
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Fax | 248-507-9701
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Provider Business Mailing Address
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Address Line | 33900 HARPER AVE STE 104
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City | CLINTON TWP
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State | MI
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Zip | 48035-4258
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5202008005
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License Number State | MI
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