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General NPI Number Information
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NPI Number | 1013038090
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Entity Type | Individual
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Provider Name | JOSEPH A KOZIELSKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 17 WHITE HORSE PIKE SUITE 1
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-547-2323
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Fax | 856-547-7932
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Provider Business Mailing Address
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Address Line | 17 WHITE HORSE PIKE SUITE 1
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1299
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Country | US
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Telephone | 856-547-2323
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Fax | 856-547-7932
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MA34496
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License Number State | NJ
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