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General NPI Number Information
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NPI Number | 1427094291
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Entity Type | Individual
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Provider Name | EUGENE R KOSER MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 320 OXFORD ST
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City | DOVER
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State | OH
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Zip | 44622-1963
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Country | US
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Telephone | 330-837-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 4665 DOUGLAS CIR NW STE 100
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City | CANTON
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State | OH
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Zip | 44718-3673
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35054628
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License Number State | OH
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