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NPI Code Detail

MEDICARE: MR. HUGO TINOCO COTAL

MEDICARE: MR. HUGO TINOCO COTAL
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
1224Z00000XOccupational Therapy Assistant5821NC

General Provider Information

NPI Number : 1730385980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HUGO TINOCO COTAL
Provider Business Mailing Address
First Line : 995 EASTMAN RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-5167
Country : US
Telephone Number : 910-728-8489
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PURDUE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3674
Country : US
Telephone Number : 910-486-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 09/07/2011

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Directions to “ MR. HUGO TINOCO COTAL” Practice Location

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