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General NPI Number Information
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NPI Number | 1922536358
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Entity Type | Individual
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Provider Name | ERIKA V RODRIGUEZ COTA
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Gender | Female
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 4101 SOUTHPOINT DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32216-0996
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Country | US
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Telephone | 904-296-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PRATTWOOD LN
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City | PALM COAST
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State | FL
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Zip | 32164-4747
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Country | US
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Telephone | 386-793-9858
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Fax | 386-864-8181
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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 | OTA14937
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 100062450
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License Number State | FL
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