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General NPI Number Information
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NPI Number | 1750301875
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Entity Type | Individual
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Provider Name | JEFFREY W. COZZENS 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 | 10/21/2020
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Provider Practice Location Address
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Address Line | 751 N RUTLEDGE ST FL 3
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City | SPRINGFIELD
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State | IL
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Zip | 62702-4968
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Country | US
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Telephone | 217-545-8000
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Fax | 217-545-1622
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Provider Business Mailing Address
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Address Line | PO BOX 19680
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9680
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Country | US
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Telephone | 217-545-8000
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Fax | 217-545-8103
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036059837
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036059837
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License Number State | IL
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