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General NPI Number Information
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NPI Number | 1235126178
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Entity Type | Individual
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Provider Name | MARIJO COSMAS MS, RN, AOCN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 301 STEEPLE CHASE DR SUITE 404
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4049
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Country | US
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Telephone | 410-535-2811
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Fax | 410-535-1865
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Provider Business Mailing Address
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Address Line | 301 STEEPLE CHASE DR SUITE 404
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-4049
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Country | US
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Telephone | 410-535-2811
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Fax | 410-535-1865
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R059234
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License Number State | MD
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