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General NPI Number Information
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NPI Number | 1902083207
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Entity Type | Individual
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Provider Name | REBECCA PAZ COTA
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Gender | Female
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 201 EPPES ST
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City | HOPEWELL
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State | VA
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Zip | 23860-2717
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Country | US
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Telephone | 804-452-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 KINGUSSLE LN
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City | RICHMOND
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State | VA
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Zip | 23236-1621
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Country | US
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Telephone | 804-405-2514
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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 | 995535
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License Number State | VA
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