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NPI 1982586889

NPI 1982586889 : SAMANTHA MARIE CURTIS COTA : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1982586889
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA MARIE CURTIS COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2025
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    1499 W PALMETTO PARK RD STE 212 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33486-3322
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    Country              |    US
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    Telephone            |    561-494-4499
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    Fax                  |    561-705-7501
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Provider Business Mailing Address
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    Address Line         |    5127 NW 125TH AVE 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33076-3449
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    Country              |    US
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    Telephone            |    954-809-9441
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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       |    20315
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    License Number State |    FL
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