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NPI 1073953964

NPI 1073953964 : ANGELA NICHOLE SZATKOWSKI D.O. : POULSBO, WA

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General NPI Number Information
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    NPI Number           |    1073953964
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA NICHOLE SZATKOWSKI D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/25/2013
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    21800 MARKET PL NW STE 104 
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    City                 |    POULSBO
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    State                |    WA
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    Zip                  |    98370-6667
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    Country              |    US
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    Telephone            |    833-411-5469
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    Fax                  |    855-459-3020
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Provider Business Mailing Address
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    Address Line         |    21800 MARKET PL NW STE 104 
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    City                 |    POULSBO
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    State                |    WA
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    Zip                  |    98370-6667
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    Country              |    US
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    Telephone            |    833-411-5469
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    Fax                  |    855-459-3020
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    02004525A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DOS2187
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    License Number State |    HI
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OP61486368
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    License Number State |    WA
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