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General NPI Number Information
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NPI Number | 1750671335
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Entity Type | Individual
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Provider Name | NATALIYA PETROVNA KOZODOY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7170
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Country | US
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Telephone | 928-344-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 13215 2ND AVE SOUTH
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City | SEATTLE
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State | WA
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Zip | 98168
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Country | US
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Telephone | 206-604-7887
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 036.132693
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 54902
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License Number State | AZ
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