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General NPI Number Information
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NPI Number | 1760872642
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Entity Type | Individual
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Provider Name | ASHLEY COZZI
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Gender | Female
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | 1001 E CHICAGO AVE STE 151
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City | NAPERVILLE
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State | IL
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Zip | 60540-5500
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Country | US
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Telephone | 630-305-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 257 N RIDGELAND AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2524
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | C200-0129-0688
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License Number State | IL
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