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General NPI Number Information
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NPI Number | 1356096184
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Entity Type | Individual
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Provider Name | LAUREN CANNATELLI KOZA PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 33300 CLEVELAND CLINIC BLVD
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City | AVON
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State | OH
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Zip | 44011-1172
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Country | US
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Telephone | 440-695-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 7369 VICTORIA FALLS AVE
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City | MAINEVILLE
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State | OH
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Zip | 45039-8115
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Country | US
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Telephone |
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.007458RX
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License Number State | OH
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