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General NPI Number Information
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NPI Number | 1982417127
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Entity Type | Individual
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Provider Name | RACHEL ELIZABETH REYNOSO COTA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 183 3RD AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-1822
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Country | US
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Telephone | 619-205-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 716 CARDONA AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-7818
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Country | US
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Telephone | 619-240-1855
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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 | 7009
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License Number State | CA
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