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General NPI Number Information
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NPI Number | 1659594158
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Entity Type | Individual
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Provider Name | AMY E COCCO MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 89 E HIGH ST
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City | PAINESVILLE
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State | OH
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Zip | 44077-3408
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Country | US
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Telephone | 330-354-4208
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Fax |
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Provider Business Mailing Address
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Address Line | 26700 BROOKPARK ROAD EXT SUITE 1
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3124
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35-087232
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License Number State | OH
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