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General NPI Number Information
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NPI Number | 1730381393
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL COCCARO DMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1330 PINEHURST RD
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City | DUNEDIN
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State | FL
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Zip | 34698-5470
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Country | US
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Telephone | 727-734-1557
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Fax | 727-736-5358
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Provider Business Mailing Address
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Address Line | 1330 PINEHURST RD
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City | DUNEDIN
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State | FL
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Zip | 34698-5470
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Country | US
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Telephone | 727-734-1557
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Fax | 727-736-5358
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14274
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License Number State | FL
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