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General NPI Number Information
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NPI Number | 1467683946
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Entity Type | Individual
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Provider Name | CHRISTY L COSGROVE MSOT
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Gender | Female
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Dates
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Enumeration Date | 08/02/2009
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Last Update Date | 11/24/2019
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Provider Practice Location Address
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Address Line | 14516 GLOBAL CIR APT 3208
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City | ORLANDO
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State | FL
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Zip | 32821-5116
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Country | US
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Telephone | 973-903-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 14516 GLOBAL CIR APT 3208
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City | ORLANDO
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State | FL
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Zip | 32821-5116
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Country | US
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Telephone | 973-903-4740
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT18803
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 48.004871
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00457800
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License Number State | NJ
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