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General NPI Number Information
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NPI Number | 1295780682
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Entity Type | Individual
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Provider Name | ROSALIE C CUOZZO PA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 484 ROUTE 134
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3423
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Country | US
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Telephone | 508-694-7901
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Fax | 508-694-7898
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Provider Business Mailing Address
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Address Line | PO BOX 4059
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City | WAYNE
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State | NJ
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Zip | 07474-4059
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Country | US
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Telephone | 973-826-8287
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Fax | 855-834-5435
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00054700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 7008020-1206
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA8687
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License Number State | MA
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