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General NPI Number Information
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NPI Number | 1154331833
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Entity Type | Organization
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Legal Business Name | MICHAEL R. COZZA, JR. M.D.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1360 SHARON ROAD
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City | BEAVER
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State | PA
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Zip | 15009-3128
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Country | US
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Telephone | 724-775-6220
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Fax | 724-775-6438
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Provider Business Mailing Address
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Address Line | 1360 SHARON ROAD
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City | BEAVER
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State | PA
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Zip | 15009-3128
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Country | US
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Telephone | 724-775-6220
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Fax | 724-775-6438
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ANTOINETTE M. COZZA
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Credential |
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Telephone | 724-728-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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