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General NPI Number Information
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NPI Number | 1982976031
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Entity Type | Individual
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Provider Name | MARCIA COLE JONES COTA
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 5900 NW 44TH ST APT 601
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City | LAUDERHILL
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State | FL
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Zip | 33319-6173
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Country | US
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Telephone | 786-208-9514
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 NW 44TH STREET APT 601
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City | FT LAUDERDALE
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State | FL
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Zip | 33319-6179
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Country | US
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Telephone | 786-208-9514
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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 | OTA 10486
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License Number State | FL
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