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NPI Code Detail

MEDICARE: VANESSA ANDRADE DESOUSA COTA/L

MEDICARE: VANESSA ANDRADE DESOUSA COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator3258MA

General Provider Information

NPI Number : 1285067710
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANDRADE DESOUSA COTA/L
Provider Business Mailing Address
First Line : 35 WINTER ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-5017
Country : US
Telephone Number : 774-328-6665
Fax Number :
Provider Business Practice Location Address
First Line : 4 S MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-5327
Country : US
Telephone Number : 508-679-5233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2013
Last Update Date : 08/20/2013

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Directions to “ VANESSA ANDRADE DESOUSA COTA/L” Practice Location

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