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NPI Code Detail

MEDICARE: MISS BRIDGIT LASHEA BAILEY COTA

MEDICARE: MISS BRIDGIT LASHEA BAILEY COTA
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
1163WX0106XOccupational Health Registered Nurse6294NC

General Provider Information

NPI Number : 1649466202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIDGIT LASHEA BAILEY COTA
Provider Business Mailing Address
First Line : 2924 DEARBORN DR
Second Line :
City : DURHAM
State : NC
Zip : 27704-3427
Country : US
Telephone Number : 919-220-2649
Fax Number :
Provider Business Practice Location Address
First Line : 500 PROSPECT AVE
Second Line :
City : OXFORD
State : NC
Zip : 27565-2543
Country : US
Telephone Number : 919-692-1005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2007
Last Update Date : 09/18/2007

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