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General NPI Number Information
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NPI Number | 1952668121
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Entity Type | Organization
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Legal Business Name | DONALD R COX MD PA
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1001 SE OCEAN BLVD SUITE 101
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City | STUART
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State | FL
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Zip | 34996-2511
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Country | US
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Telephone | 772-286-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 SE OCEAN BLVD SUITE 101
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City | STUART
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State | FL
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Zip | 34996-2511
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Country | US
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Telephone | 772-286-1990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD ROGER COX
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Credential | MD
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Telephone | 772-286-1990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME 25016
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License Number State | FL
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