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General NPI Number Information
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NPI Number | 1114210101
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Entity Type | Individual
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Provider Name | KATARZYNA MALGORZATA PISAREWICZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE RD
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City | NAPLES
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State | FL
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Zip | 34119-3900
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Country | US
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Telephone | 393-484-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 2338 IMMOKALEE RD STE 186
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City | NAPLES
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State | FL
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Zip | 34110-1445
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Country | US
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Telephone | 239-330-2933
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Fax |
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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 | ME160789
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License Number State | FL
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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 | 46198
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 46198
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME160789
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License Number State | FL
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