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General NPI Number Information
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NPI Number | 1851387344
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Entity Type | Individual
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Provider Name | JAMES J KOSTER MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 300 E OSBORN RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85012-2347
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Country | US
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Telephone | 480-994-5012
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Fax | 480-994-9479
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Provider Business Mailing Address
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Address Line | 2111 E HIGHLAND AVE STE 240
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City | PHOENIX
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State | AZ
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Zip | 85016-4794
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Country | US
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Telephone | 480-994-5012
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Fax | 480-994-9479
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 32672
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License Number State | AZ
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