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General NPI Number Information
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NPI Number | 1588708218
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Entity Type | Individual
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Provider Name | PAUL V KOSCHESKI MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 1901 OUTLET CENTER DR
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City | OXNARD
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State | CA
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Zip | 93036-0663
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Country | US
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Telephone | 310-805-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 285 N VENTURA AVE APT 18
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City | VENTURA
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State | CA
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Zip | 93001-4534
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Country | US
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Telephone | 310-805-1667
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A103701
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License Number State | CA
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