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General NPI Number Information
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NPI Number | 1922105345
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Entity Type | Individual
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Provider Name | STEPHEN JOHN COZZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 5410 CONNECTICUT AVE NW SUITE 106
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City | WASHINGTON
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State | DC
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Zip | 20015-2859
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Country | US
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Telephone | 301-442-3031
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Fax | 301-765-9707
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Provider Business Mailing Address
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Address Line | 5410 CONNECTICUT AVE NW SUITE 106
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City | WASHINGTON
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State | DC
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Zip | 20015-2859
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Country | US
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Telephone | 301-442-3031
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Fax | 301-765-9707
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD17164
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD17164
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License Number State | DC
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