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General NPI Number Information
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NPI Number | 1376707281
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Entity Type | Organization
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Legal Business Name | JOSEPH A. COCCO DO, PA
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 5801 OAKBEND TRL STE. 270
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City | FORT WORTH
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State | TX
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Zip | 76132-3912
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Country | US
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Telephone | 817-263-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 OAKBEND TRL STE. 270
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City | FORT WORTH
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State | TX
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Zip | 76132-3912
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Country | US
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Telephone | 817-263-6660
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Fax |
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Authorized Official
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Title or Position | CLAIMS SPECIALIST
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Name | MRS. TINA LYNNETTE LEWELLEN
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Credential |
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Telephone | 817-517-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L4308
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License Number State | TX
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