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General NPI Number Information
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NPI Number | 1194707661
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Entity Type | Individual
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Provider Name | ANN MARIE CHOLOWSKI MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 5771 ROOSEVELT BLVD
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City | CLEARWATER
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State | FL
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Zip | 33760-3407
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Country | US
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Telephone | 727-467-7423
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Fax |
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Provider Business Mailing Address
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Address Line | 6822 22ND AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-3918
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Country | US
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Telephone | 813-892-7714
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Fax | 727-344-1514
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME0067278
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License Number State | FL
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