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General NPI Number Information
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NPI Number | 1912334624
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Entity Type | Individual
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Provider Name | DORIS MCLAUGHLIN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 400 VISION DR
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City | ASHEBORO
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State | NC
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Zip | 27203-3855
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Country | US
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Telephone | 336-672-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 8742 HAYDEN WAY
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City | CONCORD
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State | NC
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Zip | 28025-8521
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Country | US
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Telephone | 704-784-1552
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Fax | 704-784-1552
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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 | 8771
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License Number State | NC
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