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General NPI Number Information
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NPI Number | 1275517641
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Entity Type | Individual
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Provider Name | TED KOSENSKE MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 2501 N 3RD ST LANDIS BUILDING
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City | HARRISBURG
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State | PA
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Zip | 17110-1904
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Country | US
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Telephone | 717-782-6831
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Fax | 717-782-6831
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-0947
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Country | US
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Telephone | 717-263-5562
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Fax | 717-263-1566
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MX006698
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD043353L
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License Number State | PA
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