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General NPI Number Information
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NPI Number | 1699984112
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Entity Type | Individual
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Provider Name | JULIE MARIE COSMELLO RPH
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8951 BONITA BEACH RD SE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4201
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Country | US
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Telephone | 239-498-4836
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 JONATHANS BAY CIR APT 302
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City | FORT MYERS
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State | FL
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Zip | 33908-7250
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS35122
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License Number State | FL
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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 |
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License Number State | IL
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