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General NPI Number Information
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NPI Number | 1407166010
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Entity Type | Individual
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Provider Name | JOSEPH ANTHONY COZZA D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 6592 N. DECATUR BLVD. SUITE# 115
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City | LAS VEGAS
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State | NV
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Zip | 89131-1038
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Country | US
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Telephone | 702-396-4993
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Fax | 702-636-4990
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Provider Business Mailing Address
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Address Line | PO BOX 401805
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City | LAS VEGAS
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State | NV
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Zip | 89140-1805
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Country | US
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Telephone | 702-396-4993
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Fax | 702-636-4990
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B01252
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | B01252
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | B01252
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License Number State | NV
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