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General NPI Number Information
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NPI Number | 1003922592
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Entity Type | Individual
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Provider Name | ARMAND B COGNETTA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 1707 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5317
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Country | US
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Telephone | 850-877-4134
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Fax | 850-402-9130
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Provider Business Mailing Address
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Address Line | PO BOX 13859
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City | TALLAHASSEE
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State | FL
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Zip | 32317-3859
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Country | US
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Telephone | 850-877-4134
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Fax | 850-402-9130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME0036591
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License Number State | FL
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