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General NPI Number Information
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NPI Number | 1265554729
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Entity Type | Individual
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Provider Name | JUSTIN PAUL COCO D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2480 S DOWNING ST STE G30
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City | DENVER
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State | CO
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Zip | 80210-5889
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Country | US
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Telephone | 303-777-3277
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Fax | 303-698-9713
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Provider Business Mailing Address
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Address Line | 2480 S DOWNING ST STE G30
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City | DENVER
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State | CO
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Zip | 80210-5889
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Country | US
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Telephone | 303-777-3277
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Fax | 303-698-9713
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.124705
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License Number State | IL
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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 | 9452A
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License Number State | WY
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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 | DR.0052276
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License Number State | CO
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