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General NPI Number Information
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NPI Number | 1033512736
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Entity Type | Individual
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Provider Name | TODD KOSER PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E STE J49
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4106
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Country | US
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Telephone | 856-313-5619
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Fax | 888-496-4170
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E STE J49
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City | CHERRY HILL
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State | NJ
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Zip | 08003-4106
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Country | US
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Telephone | 856-313-5619
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Fax | 888-496-4170
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS017696
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PS017696
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS017696
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License Number State | PA
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