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General NPI Number Information
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NPI Number | 1982114526
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Entity Type | Individual
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Provider Name | JESSICA LEDESMA COTA/L
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Gender | Female
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 237 MULBERRY ST
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City | SHALLOTTE
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State | NC
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Zip | 28470-4471
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Country | US
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Telephone | 910-250-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CORBETT ST NE
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City | BOLIVIA
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State | NC
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Zip | 28422-8647
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Country | US
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Telephone | 910-512-9790
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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 |
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License Number State |
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