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General NPI Number Information
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NPI Number | 1841985637
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Entity Type | Individual
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Provider Name | MEGAN TAYLOR DUNCAN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 400 N LAKE HOWARD
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City | WINTER HAVEN
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State | FL
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Zip | 33881
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Country | US
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Telephone | 800-378-7597
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Fax |
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Provider Business Mailing Address
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Address Line | 3541 PINE TREE LOOP
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City | HAINES CITY
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State | FL
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Zip | 33844-9098
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Country | US
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Telephone | 863-224-8249
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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 | OTA17615
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License Number State | FL
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