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General NPI Number Information
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NPI Number | 1215894274
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Entity Type | Individual
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Provider Name | KATLYN A KOZELL OD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1300 BROADCASTING RD
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City | WYOMISSING
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State | PA
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Zip | 19610-3220
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Country | US
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Telephone | 610-396-9999
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Fax | 610-396-1488
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Provider Business Mailing Address
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Address Line | 2548 JANE LN
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City | GILBERTSVILLE
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State | PA
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Zip | 19525-9154
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Country | US
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Telephone | 484-942-7282
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG004333
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License Number State | PA
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