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Individual
EDUARDO COSTA
Active
Individual
EDUARDO COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024190536
VA
363L00000X
Nurse Practitioner
71006025A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932560240
—
VA
05
—
201355580
—
IN
Enumeration date
03/14/2016
Last updated
02/19/2025
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