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General NPI Number Information
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NPI Number | 1972453959
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Entity Type | Individual
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Provider Name | ROBERT GLENN HATFIELD JR. COTA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2739 CEMBALO BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3011
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Country | US
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Telephone | 410-667-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 7566 E 6TH ST
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City | SOMERSET
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State | TX
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Zip | 78069-4405
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Country | US
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Telephone | 210-773-4293
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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 | 219088
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License Number State | TX
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