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General NPI Number Information
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NPI Number | 1942732540
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Entity Type | Individual
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Provider Name | DERIC LECHARLES HOLLOWAY COTA/L
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Gender | Male
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Dates
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Enumeration Date | 04/01/2017
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Last Update Date | 04/01/2017
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Provider Practice Location Address
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Address Line | 95 TONETTA LAKE WAY
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City | BREWSTER
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State | NY
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Zip | 10509-2915
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Country | US
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Telephone | 914-325-7197
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Fax |
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Provider Business Mailing Address
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Address Line | 95 TONETTA LAKE WAY
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City | BREWSTER
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State | NY
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Zip | 10509-2915
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Country | US
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Telephone | 914-325-7197
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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 | 008563
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License Number State | NY
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