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General NPI Number Information
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NPI Number | 1770100844
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Entity Type | Individual
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Provider Name | MARIA DE COSS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 133 WINDY MEADOWS DR STE 101
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City | SCHERTZ
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State | TX
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Zip | 78154-1543
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Country | US
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Telephone | 210-447-0039
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 N OLIVE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78208-1034
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Country | US
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Telephone | 956-204-8300
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 5275
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License Number State | TX
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