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General NPI Number Information
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NPI Number | 1235177890
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Entity Type | Individual
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Provider Name | ANETTE MARIA BRZOZOWSKI DPM
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 163 HURFFVILLE CROSSKEYS ROAD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012
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Country | US
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Telephone | 856-875-1000
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Fax | 856-875-9661
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Provider Business Mailing Address
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Address Line | 17 ROLLING GLN
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-9551
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Country | US
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Telephone | 856-787-0240
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00253900
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License Number State | NJ
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