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General NPI Number Information
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NPI Number | 1710907936
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Entity Type | Individual
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Provider Name | ARUN KOSHY MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1223 GATEWAY DR SUITE 2F
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City | MELBOURNE
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State | FL
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Zip | 32901-2607
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Country | US
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Telephone | 321-312-3498
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Fax | 321-768-5070
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-312-3498
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME99181
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME99181
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License Number State | FL
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