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General NPI Number Information
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NPI Number | 1942459250
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Entity Type | Individual
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Provider Name | DANNY LEE COSBY CAP/SAP
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Gender | Male
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 6919 GRAY OAK PL
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City | RIVERVIEW
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State | FL
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Zip | 33578-4599
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Country | US
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Telephone | 813-690-7238
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Fax | 813-672-0375
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Provider Business Mailing Address
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Address Line | 6919 GRAY OAK PL
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City | RIVERVIEW
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State | FL
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Zip | 33578-4599
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Country | US
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Telephone | 813-690-7238
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Fax | 813-672-0375
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP-2655
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SAP - 13142
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License Number State | FL
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