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NPI Code Detail

MEDICARE: MR. JAMES W. COZY MA

MEDICARE: MR. JAMES W. COZY MA
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
1103T00000XPsychologist575OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000125947OTHEROHANTHEM BILLING #

General Provider Information

NPI Number : 1962446799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES W. COZY MA
Provider Business Mailing Address
First Line : 3032 LAKE RD E
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-3829
Country : US
Telephone Number : 440-964-0309
Fax Number :
Provider Business Practice Location Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number : 440-998-4210
Fax Number : 440-998-2247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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