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General NPI Number Information
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NPI Number | 1477876936
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Entity Type | Individual
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Provider Name | JOSE ARMANDO COSTE MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | CALLE ALDEA, CONDOMINIO FATIMA; APT 2-A
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City | SAN JUAN
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State | PR
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Zip | 00907-2248
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Country | US
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Telephone | 401-286-7294
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE ALDEA, CONDOMINIO FATIMA; APT 2-A
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 401-286-7294
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17782
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License Number State | PR
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