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General NPI Number Information
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NPI Number | 1285677328
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Entity Type | Individual
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Provider Name | JOHN PAUL JOSEPH SOSA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 3601 MADACA LN
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City | TAMPA
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State | FL
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Zip | 33618-2048
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Country | US
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Telephone | 813-314-7943
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Fax | 813-454-0059
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Provider Business Mailing Address
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Address Line | 3703 ACADIA GLEN LN
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City | LUTZ
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State | FL
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Zip | 33548-7918
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Country | US
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Telephone | 248-613-0489
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Fax | 813-454-0059
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME105758
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License Number State | FL
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