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General NPI Number Information
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NPI Number | 1851926745
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Entity Type | Individual
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Provider Name | ALEXANDRA MARIE LAMBERT COTA
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 8770 MANCHESTER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2724
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Country | US
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Telephone | 314-301-7337
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Fax | 314-968-9003
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Provider Business Mailing Address
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Address Line | 8770 MANCHESTER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2724
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Country | US
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Telephone | 314-301-7337
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Fax | 314-968-9003
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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 | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | 2019035294
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License Number State | MO
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