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General NPI Number Information
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NPI Number | 1982861753
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Entity Type | Individual
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Provider Name | JOSEPH R. COSCIA MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 95 SCRIPPS DRIVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-6320
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Country | US
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Telephone | 916-929-1833
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Fax | 916-929-6730
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Provider Business Mailing Address
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Address Line | 95 SCRIPPS DRIVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-6320
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Country | US
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Telephone | 916-929-1833
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Fax | 916-929-6730
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A105556
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License Number State | CA
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