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NPI 1992514293

NPI 1992514293 : DEBORAH TURNER COTA : WARREN, MI

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General NPI Number Information
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    NPI Number           |    1992514293
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH TURNER COTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/02/2025
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    31830 RYAN RD 
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    City                 |    WARREN
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    State                |    MI
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    Zip                  |    48092-3767
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    Country              |    US
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    Telephone            |    586-977-6700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7635 ASHTON AVE 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48228-3450
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    Country              |    US
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    Telephone            |    586-563-3398
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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        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    520023784
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    5202003784
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    License Number State |    MI
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