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General NPI Number Information
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NPI Number | 1114556016
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Entity Type | Individual
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Provider Name | ERIC HENRY KOWALSKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 5030 TENNYSON PKWY
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City | PLANO
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State | TX
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Zip | 75024-3397
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Country | US
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Telephone | 972-985-9003
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Fax | 972-985-1176
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Provider Business Mailing Address
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Address Line | 5030 TENNYSON PKWY
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City | PLANO
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State | TX
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Zip | 75024-3397
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Country | US
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Telephone | 972-985-9003
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Fax | 972-985-1176
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | W0061
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License Number State | TX
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