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General NPI Number Information
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NPI Number | 1447431424
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Entity Type | Individual
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Provider Name | DEBRA KOSKO NP
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Gender | Female
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 801 TILGHMAN DR STE A
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City | DUNN
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State | NC
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Zip | 28334-4958
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Country | US
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Telephone | 910-892-6500
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Fax | 910-302-5897
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | FAISON
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State | NC
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Zip | 28341-0187
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Country | US
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Telephone | 910-267-2042
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Fax | 855-996-9090
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201841
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License Number State | NC
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