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NPI Code Detail

MEDICARE: MS. DEANNA COTE

MEDICARE: MS. DEANNA COTE
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
11041C0700XClinical Social Worker8933991-3501UT

General Provider Information

NPI Number : 1770871584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANNA COTE
Provider Business Mailing Address
First Line : 241 N VINE ST APT 904E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-1926
Country : US
Telephone Number : 408-892-8970
Fax Number :
Provider Business Practice Location Address
First Line : 5965 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84121-1850
Country : US
Telephone Number : 801-797-2397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 11/07/2024

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