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General NPI Number Information
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NPI Number | 1588072060
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Entity Type | Individual
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Provider Name | CASSIE MARIE KOKOSZKA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 9526 APISON PIKE STE 100
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City | OOLTEWAH
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State | TN
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Zip | 37363-9578
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Country | US
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Telephone | 423-615-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 9526 APISON PIKE STE 100
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City | OOLTEWAH
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State | TN
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Zip | 37363-9578
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Country | US
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Telephone | 423-615-6004
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20344
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202221189
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD16524
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24443
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42745
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License Number State | TN
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