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General NPI Number Information
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NPI Number | 1639026107
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Entity Type | Individual
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Provider Name | MOLLY KATHERINE COCCO
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1975 4TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2351
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Country | US
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Telephone | 415-476-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 426 W BARRY AVE APT 205
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City | CHICAGO
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State | IL
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Zip | 60657-5530
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Country | US
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Telephone | 734-929-7542
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 209033605
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License Number State | IL
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