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General NPI Number Information
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NPI Number | 1942183355
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Entity Type | Individual
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Provider Name | NICOLE AYERS COTA/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1710 KENTUCKY HIGHWAY 121 N SUIT K
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City | MURRAY
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State | KY
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Zip | 42071
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Country | US
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Telephone | 270-767-6397
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 KENTUCKY HIGHWAY 121 N
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City | MURRAY
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State | KY
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Zip | 42071
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Country | US
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Telephone | 731-613-8559
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 300836
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License Number State | KY
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