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General NPI Number Information
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NPI Number | 1083822704
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Entity Type | Individual
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Provider Name | NATARIO COUSER MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 600 NORTH WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21264-1930
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Country | US
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Telephone | 410-931-1340
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-1340
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Fax | 804-342-7619
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | D0101408
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101249717
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0101408
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License Number State | MD
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