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General NPI Number Information
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NPI Number | 1881139590
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Entity Type | Individual
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Provider Name | DEBORAH SCHUETZE COTA
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Gender | Female
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 5265 FORBES TER
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City | PORT CHARLOTTE
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State | FL
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Zip | 33981-2248
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Country | US
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Telephone | 941-380-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 FORBES TER
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City | PORT CHARLOTTE
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State | FL
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Zip | 33981-2248
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Country | US
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Telephone | 941-380-1950
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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 | OTA 15117
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5202008084
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 7501008923
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License Number State | MI
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