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General NPI Number Information
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NPI Number | 1962886549
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Entity Type | Organization
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Legal Business Name | SCOTT F. COSENZA
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 6460 CRAIN HWY
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City | LA PLATA
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State | MD
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Zip | 20646-4260
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Country | US
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Telephone | 301-934-3220
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Fax | 301-934-2941
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Provider Business Mailing Address
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Address Line | 6460 CRAIN HWY
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City | LA PLATA
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State | MD
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Zip | 20646-4260
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Country | US
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Telephone | 301-934-3220
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Fax | 301-934-2941
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT FRANCIS COSENZA
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Credential | DVM
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Telephone | 301-934-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1842
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License Number State | MD
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