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General NPI Number Information
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NPI Number | 1912835679
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Entity Type | Individual
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Provider Name | KRISTINA PAIGE MILES COTA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 814 COUNTY ROAD 305
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City | CARTHAGE
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State | TX
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Zip | 75633-4122
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Country | US
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Telephone | 903-692-9843
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Fax |
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Provider Business Mailing Address
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Address Line | 814 COUNTY ROAD 305
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City | CARTHAGE
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State | TX
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Zip | 75633-4122
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Country | US
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Telephone | 903-692-9843
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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 | 219148
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License Number State | TX
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